Sample Record
Owner Lab
- CT D01 - District 1 Materials Laboratory
DIME Sample ID 2023-09-06-28
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994534 DEA: 010H1604 EFIS: 0117000117 |
|---|---|
| DIST-CO-RTE-PM | 01-MEN-101-R33.7/R43.2 |
| Award Date | 05/04/2023 |
| Closeout Date | Not set |
| Work Description | REPLACE AC SURFACING, PLACE HMA-A, RHMA-G & CONCRETE BARRIER. |
| Location Description | MENDOCINO COUNTY NEAR WILLITS FROM 1.1 MILES NORTH OF WEST ROAD OVERCROSSING TO 0.6 MILE SOUTH OF HAEHL CREEK BRIDGE |
| QA Service Level | 1 (Verified on 04/25/2023) |
Sample Information
| Sample Taken Date | 09/06/2023 | Sample Unique Key | 28 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | Not set |
| Sample type | Department Acceptance | A brief description of the sample | 1 can binder PG 58-22 |
| The quantity of what the sample constitutes | 1 can binder | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Riley | Last name of sampler or witnessed by | Melvin |
| Title of sampler | Consultant Tester | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Valero - Benicia | Transportation Laboratory (TL) Number | 972004 |
| 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 | No | 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
| 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 |
|---|---|---|---|
| No results found. | |||