Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2021-10-14-59
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 215403 DEA: 021H4004 EFIS: 0216000042 |
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DIST-CO-RTE-PM | 02-SIS-5-R8.3 |
Award Date | 03/02/2021 |
Closeout Date | 02/28/2022 |
Work Description | PLACE STRUCTURAL CONCRETE BRIDGE DECK AND BARRIER AND PLACE HMA. |
Location Description | SISKIYOU COUNTY NEAR MOUNT SHASTA AT AZALEA ROAD OVERCROSSING |
QA Service Level | 1 (Verified on 01/07/2021) |
Sample Information
Sample Taken Date | 10/14/2021 | Sample Unique Key | 59 |
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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 | 11/01/2021 |
Sample type | Department Acceptance | A brief description of the sample | binder |
The quantity of what the sample constitutes | 1 can | From where was the sample collected | Source |
First name of sampler or witnessed by | desk | Last name of sampler or witnessed by | CGI |
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 | 853083 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Asphalt Binder | Performance Grade | PG 58-34 M |
---|---|---|---|
Modified | Yes | Lot number | |
Sublot number | Tank number | ||
Time of sample | HMA Supplier | JF SHEA FAWNDALE | |
Certified Asphalt Supplier | Valero Marketing & Supply - Benicia CA | Multigrade | No |
Multigrade Type | Asphalt Binder Mix Number | Not set |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2021-10-14-59-1 AASHTO T315-20 (Verified)
DIME Test ID: 2021-10-14-59-2 AASHTO T315-20 (Verified)
DIME Test ID: 2021-10-14-59-3 AASHTO T315-20 (Verified)
DIME Test ID: 2021-10-14-59-4 AASHTO T313-19 (Verified)