Sample Record

Owner Lab

  • CT D04 - Concord Field Laboratory

DIME Sample ID 2023-04-18-94

Project Information

Project IdentifiersProject ID: 214986
DEA: 041J9704
EFIS: 0414000404
DIST-CO-RTE-PM04-SCL-17-2.8/13.94
Award DateNot set
Closeout DateNot set
Work DescriptionPAVING WITH RHMA, COLD PLANE AC, AND INSTALL CULVERT.
Location DescriptionSANTA CLARA COUNTY IN AND NEAR LOS GATOS, CAMPBELL AND SAN JOSE FROM HEBARD ROAD TO ROUTE 17/280 SEPARATION
QA Service Level1 (Verified on 10/19/2020)

Sample Information

Sample Taken Date04/18/2023 Sample Unique Key94
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 testing04/18/2023
Sample typeProduction Start-Up A brief description of the sample3/4 RHMA-G
The quantity of what the sample constitutes104 Tons From where was the sample collectedManufacturer
First name of sampler or witnessed byJerrod Last name of sampler or witnessed byNaval
Title of sampler Telephone number of sampler
Laboratory sample identificationSJ-041823-OC2 Linked DIME Sample ID
The fabricator/manufacturer/facility nameGranite Rock Wilson Aromas Batch Transportation Laboratory (TL) NumberTL-C927716
Inspector Lot Number from the Transportation Laboratory (TL) FormProduction startup Lot 1 sublot 102 Structure unique identifier
Structure name

Material Information

Material TypeAsphalt Rubber Binder Asphalt modifier supplier
Performance GradePG 64-16 Lot number1
Sublot number102 Asphalt Rubber Binder Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Test File Attachments