Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2025-09-03-9
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1000641 DEA: 080G8504 EFIS: 0815000218 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-10-R71.2/R72.6 |
| Award Date | 04/03/2025 |
| Closeout Date | Not set |
| Work Description | BUILDING WORK. |
| Location Description | RIVERSIDE COUNTY NEAR INDIO FROM 0.9 MILE WEST TO 0.5 MILE EAST OF THE CACTUS CITY SAFETY ROADSIDE REST AREAS |
| QA Service Level | 1 (Verified on 01/13/2025) |
Sample Information
| Sample Taken Date | 09/03/2025 | Sample Unique Key | 9 |
|---|---|---|---|
| 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 | 09/03/2025 |
| Sample type | Quality Control | A brief description of the sample | 222 |
| The quantity of what the sample constitutes | 333 | From where was the sample collected | Source |
| First name of sampler or witnessed by | 222 | Last name of sampler or witnessed by | 33 |
| Title of sampler | 222 | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | 22222 | Transportation Laboratory (TL) Number | |
| 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 64-10 |
|---|---|---|---|
| Modified | Yes | Lot number | 3 |
| Sublot number | 1 | Tank number | |
| Time of sample | HMA Supplier | ||
| Certified Asphalt Supplier | Ergon Asphalt & Emulsions Incorporated - Las Vegas NV | Multigrade | Yes |
| Multigrade Type | PG 64-16 / PG 64-10 | 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. | |||