Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2024-08-16-56

Project Information

Project IdentifiersProject ID: 993279
DEA: 010E0904
EFIS: 0113000123
DIST-CO-RTE-PM01-MEN-20-33.3/34.4
Award Date05/06/2022
Closeout DateNot set
Work DescriptionCONSTRUCT NEW BRIDGE, REMOVE TWO BRIDGES, EARTHWORK AND PAVING. (Bridge No. 10-0310)
Location DescriptionMENDOCINO COUNTY NEAR UKIAH FROM 0.3 MILE WEST OF RUSSIAN RIVER BRIDGE AND OVERHEAD TO 0.3 MILE EAST OF COUNTY ROAD 144
QA Service Level1 (Verified on 10/04/2021)

Sample Information

Sample Taken Date08/16/2024 Sample Unique Key56
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 testing08/28/2024
Sample typeAcceptance A brief description of the sample1 can
The quantity of what the sample constitutes1 can binder From where was the sample collectedSource
First name of sampler or witnessed bypG 64-16 rubber binder Last name of sampler or witnessed byFelipe
Title of samplerDamian Telephone number of sampler
Laboratory sample identification24-167 Linked DIME Sample ID2024-08-16-40
The fabricator/manufacturer/facility nameGranite HWY 175 Transportation Laboratory (TL) Number778436
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

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

Submitted Tests

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

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Test File Attachments