Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2022-09-02-68

Project Information

Project IdentifiersProject ID: 212498
DEA: 021H5204
EFIS: 0217000009
DIST-CO-RTE-PM02-SIS-3,263-48.5/49.7 - 49.41
Award Date06/09/2023
Closeout DateNot set
Work DescriptionRoadway Rehabilitation
Location Description02-Sis-3, 263-R46.8/R48.0, 49.07/49.41
QA Service Level1 (Verified on 06/06/2017)

Sample Information

Sample Taken Date09/02/2022 Sample Unique Key68
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 testing09/21/2022
Sample typeAcceptance A brief description of the sample58-34m, 23.6% Rap
The quantity of what the sample constitutes2 cans From where was the sample collectedFabricator
First name of sampler or witnessed byBrandon Last name of sampler or witnessed byEvangelista
Title of samplerARE Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameJF Shea Fawndale Transportation Laboratory (TL) Number891190
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphalt Binder Performance GradePG 58-34 M
ModifiedYes Lot number
Sublot number Tank number
Time of sample HMA Supplier
Certified Asphalt SupplierValero Marketing & Supply - Benicia 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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Sample File Attachments

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Test File Attachments