Sample Record
Owner Lab
- CT D06 - Visalia Field Laboratory
DIME Sample ID 2023-03-24-22
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993301 DEA: 060U2804 EFIS: 0615000293 |
|---|---|
| DIST-CO-RTE-PM | 06-TUL-245-1.4,4.2 |
| Award Date | 01/03/2022 |
| Closeout Date | Not set |
| Work Description | PRECAST PRESTRESSED CONCRETE BOX GIRDER AND SLAB, BRIDGE REMOVAL. |
| Location Description | TULARE COUNTY NEAR WOODLAKE AT YOKOHL CREEK BRIDGE AND AT KAWEAH RIVER BRIDGE |
| QA Service Level | 1 (Verified on 10/11/2021) |
Sample Information
| Sample Taken Date | 03/24/2023 | Sample Unique Key | 22 |
|---|---|---|---|
| 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 | 3/4"HMA-A PG 70-10 |
| The quantity of what the sample constitutes | 147 tons | From where was the sample collected | Source |
| First name of sampler or witnessed by | Jason | Last name of sampler or witnessed by | Ruiz |
| Title of sampler | Consultant Tester | Telephone number of sampler | 5592890420 |
| Laboratory sample identification | Linked DIME Sample ID | 2023-03-24-19 | |
| The fabricator/manufacturer/facility name | Porterville Rock PAI | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Tul 245 Kaweah- Yokohl Bridges Wood Land |
Material Information
| Material Type | Asphalt Binder | Performance Grade | PG 70-10 |
|---|---|---|---|
| Modified | No | Lot number | 1 |
| Sublot number | 3 | Tank number | 136 |
| Time of sample | HMA Supplier | Porterville Asphalt & Rock PAI | |
| 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 |
|---|---|---|---|
| 06-0U2804_37043__230324_SA_L1SL3-T308 | 03/29/2023 | Info |