Sample Record
Owner Lab
- Mozamo Engineering, Incorporated
DIME Sample ID 2026-04-17-22
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1000859 DEA: 033H9104 EFIS: 0318000086 |
|---|---|
| DIST-CO-RTE-PM | 03-NEV-80-0.1/0.1 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Kingvale Back up Generator |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 03/24/2025) |
Sample Information
| Sample Taken Date | 04/17/2026 | Sample Unique Key | 22 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 04/20/2026 |
| Sample type | Quality Assurance | A brief description of the sample | Rubber Binder PG-64-16 |
| The quantity of what the sample constitutes | Daily Production | From where was the sample collected | Distributor |
| First name of sampler or witnessed by | Luis | Last name of sampler or witnessed by | Magana |
| Title of sampler | QA Tech | Telephone number of sampler | 2092250104 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | De Silva Gates - Marysville | 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 Rubber Binder | Asphalt modifier supplier | De Silva Gates |
|---|---|---|---|
| Performance Grade | PG 64-16 | Lot number | 1 |
| Sublot number | 1 | Asphalt Rubber Binder Mix Number | MD 6617 |
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. | |||