Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2023-05-11-57
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994209 DEA: 010E7904 EFIS: 0115000021 |
|---|---|
| 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 | 05/11/2023 | Sample Unique Key | 57 |
|---|---|---|---|
| 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 | 05/16/2023 |
| Sample type | Acceptance | A brief description of the sample | PG 64-16 |
| The quantity of what the sample constitutes | 1 of 1 can | From where was the sample collected | Job Site |
| 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 | PLANT A | Transportation Laboratory (TL) Number | c 971840 |
| 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 | Lot number | ||
| Sublot number | Tank number | ||
| Time of sample | HMA Supplier | ||
| 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 |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-05-11-57-2 AASHTO T315-22 (Verified)