Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2022-11-16-21
Project Information
Project Identifiers | Project ID: 215179 DEA: 010F4704 EFIS: 0116000011 |
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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 | 21 |
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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 | 11/21/2022 |
Sample type | Department 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 |
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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 | No |
Multigrade Type | 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: 2022-11-16-21-1 AASHTO T315-22 (Verified)