Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2022-05-25-84
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993474 DEA: 101N3204 EFIS: 1021000167 |
|---|---|
| DIST-CO-RTE-PM | 10-TUO-132-R4.7/6.0 |
| Award Date | 02/02/2022 |
| Closeout Date | 08/26/2022 |
| Work Description | COLD PLANE EXISTING PAVEMENT AND RESURFACE WITH RHMA. |
| Location Description | TUOLUMNE COUNTY NEAR HAYWARD FROM 0.7 MILE EAST OF BONDS FLAT ROAD TO LAS PALMAS WAY |
| QA Service Level | 1 (Verified on 12/28/2021) |
Sample Information
| Sample Taken Date | 05/25/2022 | Sample Unique Key | 84 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 06/16/2022 |
| Sample type | Department Acceptance | A brief description of the sample | Rubber Binder |
| The quantity of what the sample constitutes | 1 Can | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | M | Last name of sampler or witnessed by | S |
| Title of sampler | TE | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Teichert Vernalis | Transportation Laboratory (TL) Number | 976940 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Asphalt Rubber Binder | Asphalt modifier supplier | |
|---|---|---|---|
| Performance Grade | PG 64-16 | Lot number | 1 |
| Sublot number | 1 | Asphalt Rubber Binder Mix Number | Not set |
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. | |||