Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 44444 DEA: ASCP EFIS: ASCP
QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for submitting Sample information for Asphalt Supplier Certification Program.
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown
DIME Sample ID: 2025-08-05-12
TL Number from the TL Form:
Sample Submitted By Organization: Wright Asphalt
Sample Organization Contact: (806) 679-0747
Type of Sample: Verification
Type of Material: Asphalt Binder
Sample Taken Date: 08/05/2025
Date that the sample was received by the laboratory/organization performing the testing: 08/05/2025
The quantity of what the sample constitutes: 1 of 1
A brief description of the sample: Tank 111
From where was the sample collected: Manufacturer
Laboratory sample identification: 070925-7010-001
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Casa Grande, AZ
Performance Grade: PG 70-10
Modified:
Lot number:
Sublot number:
Tank number:
Time of sample:
HMA Supplier:
Certified Asphalt Supplier: Wright Asphalt
Multigrade: No
Multigrade Type:
Asphalt Binder Mix Number:
DIME Test ID: 2025-08-05-12-1
Test Method: AASHTO T313-22: Standard Method of Test for Determining the Flexural Creep Stiffness of Asphalt Binder Using the Bending Beam Rheometer (BBR)
Submitted By Organization: Wright Asphalt
Organization Address: 110 South Commerce Street,
Organization City: Casa Grande
Organization State: CA
Organization Zipcode: 85193
Organization Email: ahamer@wrightasphalt.com
Organization Phone: (806) 679-0747
Data has not been verified.
