Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2022-11-02-28
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215425 DEA: 06360244 EFIS: 0613000005 |
|---|---|
| DIST-CO-RTE-PM | 06-TUL-99-30.6/35.2 |
| Award Date | 04/23/2021 |
| Closeout Date | Not set |
| Work Description | Widen Freeway & Bridge Construction (Concrete Bridge) |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 11/01/2021) |
Sample Information
| Sample Taken Date | 11/02/2022 | Sample Unique Key | 28 |
|---|---|---|---|
| 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 | 11/09/2022 |
| Sample type | Acceptance | A brief description of the sample | 3/4-inch Type A HMA R15 PG 64-10 |
| The quantity of what the sample constitutes | 1 Can | From where was the sample collected | Other |
| First name of sampler or witnessed by | Eric | Last name of sampler or witnessed by | _ |
| Title of sampler | QC | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | San Joaquin Refining Co Inc | Transportation Laboratory (TL) Number | 056462 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Asphalt Binder | Performance Grade | PG 64-10 |
|---|---|---|---|
| Modified | No | Lot number | |
| Sublot number | Tank number | ||
| Time of sample | HMA Supplier | ||
| Certified Asphalt Supplier | San Joaquin Refinery - Bakersfield CA | Multigrade | No |
| Multigrade Type | Asphalt Binder Mix Number |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||