Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2022-11-16-20
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215179 DEA: 010F4704 EFIS: 0116000011 |
|---|---|
| DIST-CO-RTE-PM | 01-HUM-299-30.7/37.7 |
| Award Date | 11/19/2020 |
| Closeout Date | 11/27/2023 |
| Work Description | PLACE HMA & RHMA-G & CONSTRUCT SOLDIER PILE WALL. |
| Location Description | HUMBOLDT COUNTY NEAR WILLOW CREEK AT VARIOUS LOCATIONS FROM 0.1 MILE EAST OF CEDAR CREEK ROAD TO 1.1 MILES WEST OF ROUTE 96 JUNCTION |
| QA Service Level | 1 (Verified on 09/15/2020) |
Sample Information
| Sample Taken Date | 11/16/2022 | Sample Unique Key | 20 |
|---|---|---|---|
| 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 | 11/21/2022 |
| Sample type | Acceptance | A brief description of the sample | Asphalt Binder Sample |
| The quantity of what the sample constitutes | 1 quart can, split sample | From where was the sample collected | Source |
| First name of sampler or witnessed by | Trena | Last name of sampler or witnessed by | Freitas |
| Title of sampler | TET | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Valero - Benicia, CA | Transportation Laboratory (TL) Number | 750377 |
| 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 | Willow reek Plant | |
| Certified Asphalt Supplier | Valero Marketing & Supply - Benicia CA | Multigrade | Yes |
| Multigrade Type | PG 64-16 / PG 64-10 | 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. | |||