Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2022-10-25-32
Project Information
Project Identifiers | Project ID: 214899 DEA: 033H4504 EFIS: 0318000001 |
---|---|
DIST-CO-RTE-PM | 03-ED-50-33.8/34.2 |
Award Date | 07/29/2020 |
Closeout Date | Not set |
Work Description | CONSTRUCT RW, WIDEN RDWY, COLD PLANE AC PVMT, & HMA OVERLAY. |
Location Description | EL DORADO COUNTY AT FRESH POND FROM 0.6 TO 0.2 MILE WEST OF FOREST ROAD/OUTER LIMITS LANE |
QA Service Level | 1 (Verified on 04/15/2020) |
Sample Information
Sample Taken Date | 10/25/2022 | Sample Unique Key | 32 |
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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 | 10/27/2022 |
Sample type | Department Acceptance | A brief description of the sample | 3/4" HMA-SP |
The quantity of what the sample constitutes | 2 Oil Cans | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Sergio | Last name of sampler or witnessed by | Tostado |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | 2022-10-25-21 | |
The fabricator/manufacturer/facility name | Teichert Grantline | 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 | No | Lot number | |
Sublot number | Tank number | ||
Time of sample | HMA Supplier | ||
Certified Asphalt Supplier | Pacific Northwest Oil - Stockton CA | Multigrade | Yes |
Multigrade Type | PG 64-28 / PG 64-16 / PG 64-10 | Asphalt Binder Mix Number |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
---|---|---|---|
No results found. |
Test File Attachments
DIME Test ID: 2022-10-25-32-1 AASHTO T315-22 (Verified)