Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2022-05-17-48

Project Information

Project IdentifiersProject ID: 993523
DEA: 051N6604
EFIS: 0521000075
DIST-CO-RTE-PM05-SCR-35-3.5/7.7
Award Date03/10/2022
Closeout Date10/20/2022
Work DescriptionCOLD PLANE EXISTING ROADWAY AND PLACE RHMA-G OVERLAY.
Location DescriptionSANTA CRUZ COUNTY NEAR LEXINGTON HILLS FROM BEAR CREEK ROAD TO SANTA CLARA COUNTY LINE
QA Service Level1 (Verified on 02/16/2022)

Sample Information

Sample Taken Date05/17/2022 Sample Unique Key48
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 testing05/31/2022
Sample typeAcceptance A brief description of the sampleBINDER
The quantity of what the sample constitutes1 CAN From where was the sample collectedOther
First name of sampler or witnessed byA Last name of sampler or witnessed byJ
Title of samplerTET Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameA.R. WILSON QUARRY Transportation Laboratory (TL) NumberC748989
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphalt Binder Performance GradePG 64-16
Modified Lot number
Sublot number Tank number
Time of sample HMA Supplier
Certified Asphalt SupplierSan Joaquin Refinery - Bakersfield CA MultigradeNo
Multigrade Type Asphalt Binder Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Test File Attachments