Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2023-03-22-11
Project Information
Project Identifiers | Project ID: 994209 DEA: 010E7904 EFIS: 0115000021 |
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DIST-CO-RTE-PM | 01-HUM-254-4.2/4.2 |
Award Date | 12/13/2022 |
Closeout Date | Not set |
Work Description | Project Name: Fish Creek Bridge (Bridge No. 04-0317) |
Location Description | HUMBOLDT COUNTY NEAR PHILLIPSVILLE AT 3.3 MILES NORTH OF OHMAN CREEK BRIDGE |
QA Service Level | 1 (Verified on 09/09/2022) |
Sample Information
Sample Taken Date | 03/22/2023 | Sample Unique Key | 11 |
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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 | 03/24/2023 |
Sample type | Quality Assurance | A brief description of the sample | JMF verification sample |
The quantity of what the sample constitutes | 1 binder can | From where was the sample collected | Source |
First name of sampler or witnessed by | Bryan | Last name of sampler or witnessed by | Sanderson |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Valero Benicia | Transportation Laboratory (TL) Number | 972175 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Asphalt Binder | Performance Grade | PG 58-22 |
---|---|---|---|
Modified | Lot number | ||
Sublot number | Tank number | ||
Time of sample | HMA Supplier | Mercer Fraser Fortuna Plant A | |
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: 2023-03-22-11-1 AASHTO T315-22 (Verified)