Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2021-10-16-8
Project Information
| Project Identifiers | Project ID: 214518 DEA: 034F3704 EFIS: 0314000152 |
|---|---|
| DIST-CO-RTE-PM | 03-NEV-174-2.7/4.6 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | REALIGN ROADWAY CURVES. |
| Location Description | NEVADA COUNTY NEAR PEARDALE FROM MAPLE WAY TO YOU BET ROAD |
| QA Service Level | 1 (Verified on 11/22/2019) |
Sample Information
| Sample Taken Date | 10/16/2021 | Sample Unique Key | 8 |
|---|---|---|---|
| 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 | 11/29/2021 |
| Sample type | Acceptance | A brief description of the sample | 1 OF 1 NO TEST 10-16 |
| The quantity of what the sample constitutes | PG64-16 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | JEN | Last name of sampler or witnessed by | AMY |
| Title of sampler | PLANT QL | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Valero - Benicia, CA | Transportation Laboratory (TL) Number | 707320 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Asphalt Binder | Performance Grade | PG 58-22 |
|---|---|---|---|
| Modified | No | Lot number | |
| Sublot number | Tank number | ||
| Time of sample | HMA Supplier | ||
| Asphalt Binder Supplier | Valero Marketing & Supply - Benicia CA | Multigrade | No |
| Multigrade Type | HMA Design ID |
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. | |||