Sample Record

Owner Lab

  • Atlas - Denver

DIME Sample ID 2025-04-22-93

Project Information

Project IdentifiersProject ID: 1001178
DEA: 020J3904
EFIS: 0219000112
DIST-CO-RTE-PM02---
Award Date08/01/2024
Closeout DateNot set
Work DescriptionNot set
Location DescriptionNot set
QA Service Level2 (Verified on 04/14/2025)

Sample Information

Sample Taken Date04/22/2025 Sample Unique Key93
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 testing04/29/2025
Sample typeQuality Assurance A brief description of the samplePG 58-34M
The quantity of what the sample constitutes2 cans From where was the sample collectedSource
First name of sampler or witnessed byC Last name of sampler or witnessed byB
Title of samplerTET Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameJ F Shea Construction Inc - Fawndale Rock and Asphalt - Redding CA Transportation Laboratory (TL) Number823625
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeAsphalt Binder Performance GradePG 58-34 M
ModifiedYes Lot number
Sublot number Tank number
Time of sample HMA Supplier
Certified Asphalt SupplierValero Marketing & Supply - Benicia CA MultigradeNo
Multigrade Type Asphalt Binder Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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