Sample Record

Owner Labs

  • CT D05 - Monterey Construction Field Laboratory
  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2023-09-14-17

Project Information

Project IdentifiersProject ID: 994862
DEA: 051P5604
EFIS: 0522000082
DIST-CO-RTE-PM05-SB-1-30.0/37.5
Award DateNot set
Closeout DateNot set
Work DescriptionOverlay with rubberized hot mix asphalt - gap graded (BWC).
Location DescriptionCONSTRUCTION ON STATE HIGHWAY IN SANTA CRUZ COUNTY NEAR DAVENPORT FROM 0.1 MILE SOUTH OF DAVENPORT LANDING ROAD TO SAN MATEO COUNTY LINE.
QA Service Level1 (Verified on 06/05/2023)

Sample Information

Sample Taken Date09/14/2023 Sample Unique Key17
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 testing09/14/2023
Sample typeQuality Assurance A brief description of the sample64-16 ARB
The quantity of what the sample constitutes2 Cans From where was the sample collectedFabricator
First name of sampler or witnessed byWesley Last name of sampler or witnessed byRider
Title of samplerTET Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameNational Blending Company Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphalt Rubber Binder Asphalt modifier supplierSan Joaquin Refining Co Inc
Performance GradePG 64-16 Lot number
Sublot number Asphalt Rubber Binder Mix Number23_1354

Submitted Tests

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