Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2022-09-29-19
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994305 DEA: 010K1004 EFIS: 0120000009 |
|---|---|
| DIST-CO-RTE-PM | 01-HUM-101-77.3 |
| Award Date | Not set |
| Closeout Date | 08/02/2023 |
| Work Description | D1 SHOP Paving |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 09/27/2022) |
Sample Information
| Sample Taken Date | 09/29/2022 | Sample Unique Key | 19 |
|---|---|---|---|
| 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 | 10/03/2022 |
| Sample type | Department Acceptance | A brief description of the sample | PG 76-22M |
| The quantity of what the sample constitutes | 1 Can | From where was the sample collected | Source |
| First name of sampler or witnessed by | L | Last name of sampler or witnessed by | Lee |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Valero - Benicia | Transportation Laboratory (TL) Number | 026633 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Asphalt Binder | Performance Grade | PG 76-22 M |
|---|---|---|---|
| Modified | Yes | Lot number | |
| Sublot number | 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: 2022-09-29-19-1 AASHTO T315-22 (Verified)