Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2022-08-17-53
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214321 DEA: 012982U4 EFIS: 0118000125 |
|---|---|
| DIST-CO-RTE-PM | 01-LAK-29,175-28.5/31.6,8.2/8.5 |
| Award Date | 11/07/2019 |
| Closeout Date | Not set |
| Work Description | CONSTRUCT 4 LANE EXPRESSWAY WITH EARTHWORK AND PAVING. |
| Location Description | LAKE COUNTY NEAR KELSEYVILLE ON ROUTE 29 FROM 0.6 MILE TO 3.7 MILES NORTH OF ROUTE 281 AND ON ROUTE 175 FROM SOUTH JUNCTION ROUTE 29 TO 0.3 MILE EAST OF SOUTH JUNCTION ROUTE 29 |
| QA Service Level | 1 (Verified on 08/19/2019) |
Sample Information
| Sample Taken Date | 08/17/2022 | Sample Unique Key | 53 |
|---|---|---|---|
| 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 | 08/24/2022 |
| Sample type | Acceptance | A brief description of the sample | 58-34 PMR25 |
| The quantity of what the sample constitutes | 1 can | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | A | Last name of sampler or witnessed by | Flores |
| Title of sampler | CT Consultant | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Granite 175 | Transportation Laboratory (TL) Number | 036331 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Asphalt Binder | Performance Grade | PG 58-34 M |
|---|---|---|---|
| Modified | Yes | Lot number | |
| Sublot number | Tank number | ||
| Time of sample | 0638 | HMA Supplier | |
| Certified Asphalt Supplier | Valero Marketing & Supply - Benicia CA | Multigrade | No |
| Multigrade Type | Asphalt 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. | |||