Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2025-07-21-21
Project Information
| Project Identifiers | Project ID: 995538 DEA: 024H0604 EFIS: 0218000073 |
|---|---|
| DIST-CO-RTE-PM | 02-PLU,PLU-36- |
| Award Date | 11/05/2024 |
| Closeout Date | Not set |
| Work Description | CHESTER CAUSEWAY REHAB |
| Location Description | LASSEN AND PLUMAS COUNTIES FROM MELISSA AVENUE TO 0.6 MILE EAST OF RED RIVER CANAL |
| QA Service Level | 1 (Verified on 10/24/2024) |
Sample Information
| Sample Taken Date | 07/21/2025 | Sample Unique Key | 21 |
|---|---|---|---|
| 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 | 07/25/2025 |
| Sample type | Quality Assurance | A brief description of the sample | Binder PG 58-34 Non-Modified |
| The quantity of what the sample constitutes | 2 cans | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Joe | Last name of sampler or witnessed by | Delgado |
| Title of sampler | Consultant | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | 2025-07-21-63 | |
| The fabricator/manufacturer/facility name | Albina - Klamath Falls, OR | Transportation Laboratory (TL) Number | c867342 |
| 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 58-34 |
|---|---|---|---|
| Modified | No | Lot number | |
| Sublot number | Tank number | ||
| Time of sample | HMA Supplier | ||
| Certified Asphalt Supplier | Albina Asphalt (Klamath Falls Plant) - Klamath Falls OR | Multigrade | No |
| Multigrade Type | 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 |
|---|---|---|---|
| 2025-07-21-21 142 | 08/25/2025 | Info |
