Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2022-03-22-7

Project Information

Project IdentifiersProject ID: 215179
DEA: 010F4704
EFIS: 0116000011
DIST-CO-RTE-PM01-HUM-299-30.7/37.7
Award Date11/19/2020
Closeout DateNot set
Work DescriptionPLACE HMA & RHMA-G & CONSTRUCT SOLDIER PILE WALL.
Location DescriptionHUMBOLDT COUNTY NEAR WILLOW CREEK AT VARIOUS LOCATIONS FROM 0.1 MILE EAST OF CEDAR CREEK ROAD TO 1.1 MILES WEST OF ROUTE 96 JUNCTION
QA Service Level1 (Verified on 09/15/2020)

Sample Information

Sample Taken Date03/22/2022 Sample Unique Key7
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 testing03/24/2022
Sample typeAcceptance A brief description of the sampleRubber Asphalt Binder Sample
The quantity of what the sample constitutes1OF1 From where was the sample collectedSource
First name of sampler or witnessed byTrena Last name of sampler or witnessed byFRIETAS
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameValero - Benicia, CA Transportation Laboratory (TL) Number637032
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphalt Binder Performance GradePG 64-16
ModifiedNo Lot number
Sublot number Tank number
Time of sample HMA Supplier
Asphalt Binder SupplierValero Marketing & Supply - Benicia CA MultigradeNo
Multigrade Type HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments