Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2022-06-10-21
Project Information
Project Identifiers | Project ID: 993504 DEA: 010K9604 EFIS: 0121000036 |
---|---|
DIST-CO-RTE-PM | 01-MEN-20-17.3/26.0 |
Award Date | 04/21/2022 |
Closeout Date | 11/21/2022 |
Work Description | REMOVE AND PLACE THERMOPLASTIC TRAFFIC STRIPE WITH MICRO-SURFACING. |
Location Description | MENDOCINO COUNTY ABOUT 8 MILES WEST OF WILLITS FROM CHAMBERLAIN CREEK BRIDGE TO 0.3 MILE WEST OF IRMULCO ROAD |
QA Service Level | 1 (Verified on 01/21/2022) |
Sample Information
Sample Taken Date | 06/10/2022 | Sample Unique Key | 21 |
---|---|---|---|
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 | 06/13/2022 |
Sample type | Acceptance | A brief description of the sample | Binder, 3/4" HMA Type A, PG58-22R25LAS-3921 |
The quantity of what the sample constitutes | 1 Can | From where was the sample collected | Fabricator |
First name of sampler or witnessed by | C | Last name of sampler or witnessed by | Malik |
Title of sampler | ARE | Telephone number of sampler | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Granite Ukiah | Transportation Laboratory (TL) Number | 555914 |
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 | Ukiah HMA Plant - 100351 | |
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: 2022-06-10-21-1 AASHTO T315-20 (Verified)
DIME Test ID: 2022-06-10-21-2 AASHTO T315-20 (Verified)
DIME Test ID: 2022-06-10-21-3 AASHTO T315-20 (Verified)