Sample Record
Owner Lab
- Atlas - Texas
DIME Sample ID 2025-04-17-48
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1001208 DEA: 022K6204 EFIS: 0225000120 |
|---|---|
| DIST-CO-RTE-PM | 02-SIS-96-46.6/46.6 |
| Award Date | 02/28/2025 |
| Closeout Date | 07/14/2025 |
| Work Description | Siskiyou 96 Potential Landslide DO Storm Damage |
| Location Description | IN SISKIYOU COUNTY NEAR HAPPY CAMP AT 2.3 MILES EAST OF GORDONS FERRY ROAD |
| QA Service Level | 1 (Verified on 04/22/2025) |
Sample Information
| Sample Taken Date | 04/17/2025 | Sample Unique Key | 48 |
|---|---|---|---|
| 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 testing | 04/24/2025 |
| Sample type | Quality Assurance | A brief description of the sample | PG 58-22 |
| The quantity of what the sample constitutes | 2 cans | From where was the sample collected | Source |
| First name of sampler or witnessed by | Giantolis | Last name of sampler or witnessed by | Tanner |
| Title of sampler | Tester | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | JF Shea Fawndale | Transportation Laboratory (TL) Number | 823564 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Asphalt Binder | Performance Grade | PG 58-22 |
|---|---|---|---|
| Modified | Yes | Lot number | |
| Sublot number | Tank number | ||
| Time of sample | HMA Supplier | ||
| Certified Asphalt Supplier | Valero Marketing & Supply - Benicia CA | Multigrade | Yes |
| Multigrade Type | PG 58-22 / PG 58-16 | Asphalt Binder Mix Number |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||