Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2024-11-05-61

Project Information

Project IdentifiersProject ID: 44444
DEA: ASCP
EFIS: ASCP
DIST-CO-RTE-PM59---
Award DateNot set
Closeout DateNot set
Work DescriptionSpecial project for submitting Sample information for Asphalt Supplier Certification Program.
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date11/05/2024 Sample Unique Key61
Will the laboratory/organization for which you are a member perform testing on this material sample?Yes Date that the sample was received by the laboratory/organization performing the testing12/04/2024
Sample typeVerification A brief description of the sampleTank 2001
The quantity of what the sample constitutes1 of 1 From where was the sample collectedManufacturer
First name of sampler or witnessed byMolly Last name of sampler or witnessed byGibney
Title of sampler Telephone number of sampler
Laboratory sample identificationAC-3150-WS Linked DIME Sample ID2024-11-05-50
The fabricator/manufacturer/facility nameWest Sacramento,CA Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphalt Binder Performance GradePG 64-16
Modified Lot number
Sublot number Tank number2001
Time of sample HMA Supplier
Certified Asphalt SupplierVSS Emultech - West Sacramento CA MultigradeNo
Multigrade Type Asphalt 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