Sample Record
Owner Labs
- Blackburn Consulting
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2022-08-31-12
Project Information
Project Identifiers | Project ID: 993193 DEA: 031H18U4 EFIS: 0321000106 |
---|---|
DIST-CO-RTE-PM | 03-NEV-80-13.0/16.5 |
Award Date | 11/04/2021 |
Closeout Date | 12/14/2023 |
Work Description | ROADWAY EXCAVATION, JPCP AND FURNISH POLYESTER CONCRETE OVERLAY. |
Location Description | NEVADA COUNTY IN AND NEAR TRUCKEE FROM 0.2 MILE WEST OF DONNER PARK OVERCROSSING TO ROUTE 89/267 SEPARATION |
QA Service Level | 1 (Verified on 08/23/2021) |
Sample Information
Sample Taken Date | 08/31/2022 | Sample Unique Key | 12 |
---|---|---|---|
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 | 09/06/2022 |
Sample type | Department Acceptance | A brief description of the sample | 3/4" HMA-SP w/ 15% RAP Oil |
The quantity of what the sample constitutes | 1 Oil Can | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Dustan | Last name of sampler or witnessed by | Kliethermes |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Martis Valley | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Asphalt Binder | Performance Grade | PG 64-28 |
---|---|---|---|
Modified | Lot number | 1 | |
Sublot number | 9 | Tank number | |
Time of sample | HMA Supplier | ||
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 |
---|---|---|---|
No results found. |
Test File Attachments
DIME Test ID: 2022-08-31-12-1 AASHTO T315-20 (Verified)