Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2021-09-13-57
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215126 DEA: 010G33U4 EFIS: 0120000002 |
|---|---|
| DIST-CO-RTE-PM | 01-LAK-20-5.1/6.3 |
| Award Date | 11/19/2020 |
| Closeout Date | 10/07/2022 |
| Work Description | Widen shoulders and replace bridge with box culvert. |
| Location Description | LAKE COUNTY NEAR UPPER LAKE FROM 0.4 MILE WEST OF WITTER SPRINGS ROAD TO 0.4 MILE EAST OF BACHELOR CREEK BRIDGE |
| QA Service Level | 1 (Verified on 08/26/2020) |
Sample Information
| Sample Taken Date | 09/13/2021 | Sample Unique Key | 57 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 10/21/2021 |
| Sample type | Acceptance | A brief description of the sample | NO TEST, |
| The quantity of what the sample constitutes | 1 CAN | From where was the sample collected | Source |
| First name of sampler or witnessed by | Unknown | Last name of sampler or witnessed by | Unknown |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Valero - Benicia | Transportation Laboratory (TL) Number | 636952 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Asphalt Rubber Binder | Asphalt modifier supplier | |
|---|---|---|---|
| Performance Grade | PG 64-16 | Lot number | |
| Sublot number | Asphalt Rubber Binder Mix Number | Not set |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||