Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2022-10-25-37
Project Information
Project Identifiers | Project ID: 215801 DEA: 010F2404 EFIS: 0115000094 |
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DIST-CO-RTE-PM | 01-DN-101-R5.1/R5.6 |
Award Date | 08/02/2021 |
Closeout Date | 11/21/2022 |
Work Description | HOT MIX ASPHALT (TYPE A AND LEVELING). |
Location Description | DEL NORTE COUNTY NEAR KLAMATH FROM 0.2 MILE SOUTH TO 0.2 MILE NORTH OF ROUTE 101 AND EHLERS WAY INTERSECTION |
QA Service Level | 1 (Verified on 07/06/2021) |
Sample Information
Sample Taken Date | 10/25/2022 | Sample Unique Key | 37 |
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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 | 1/2" HMA, PG 64-16 |
The quantity of what the sample constitutes | 1 Can | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Ricky | Last name of sampler or witnessed by | Werner |
Title of sampler | Samples Tester | Telephone number of sampler | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Mercer Fraser - Fortuna Plant A | Transportation Laboratory (TL) Number | 026735 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Asphalt Binder | Performance Grade | PG 64-16 |
---|---|---|---|
Modified | No | Lot number | |
Sublot number | Tank number | ||
Time of sample | HMA Supplier | ||
Certified Asphalt Supplier | Valero Marketing & Supply - Benicia CA | Multigrade | Yes |
Multigrade Type | PG 64-16 / PG 64-10 | Asphalt Binder Mix Number |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2022-10-25-37-1 AASHTO T315-22 (Verified)