Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
DEA: No Project
QA Service Level:
DIST-CO-RTE-PM: ---
Work Description: Special project identifier for material not associated with a project
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown
DIME Sample ID: 2025-12-09-7
TL Number from the TL Form:
Sample Submitted By Organization: Pavement Engineering Inc.
Sample Organization Contact: (530) 224-4535
Type of Sample: Quality Control
Type of Material: Hot Mix Asphalt
Sample Taken Date: 12/09/2025
Date that the sample was received by the laboratory/organization performing the testing: 12/09/2025
The quantity of what the sample constitutes: 4 boxes
A brief description of the sample: 3/4 RHMA-G
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Doe Plant
DIME Test ID: 2025-12-09-7-1
Test Method: AASHTO T308-25: Standard Method of Test for Determining the Asphalt Binder Content of Hot Mix Asphalt (HMA) by the Ignition Method (Method A) (Asphalt Binder Content)
Submitted By Organization: Pavement Engineering Inc.
Organization Address: 7610 Avianca Drive,
Organization City: Redding
Organization State: CA
Organization Zipcode: 96002
Organization Email: craigl@pavementengineering.com
Organization Phone: (530) 224-4535
Data has not been verified.