Sample Record

Owner Lab

  • CT D01 - Crescent City Field Laboratory

DIME Sample ID 2026-04-22-12

Project Information

Project IdentifiersProject ID: 1000997
DEA: 010J2104
EFIS: 0118000190
DIST-CO-RTE-PM01-DN-101-R2.6/23.9
Award Date06/06/2025
Closeout DateNot set
Work DescriptionRHMA, HMA, AND COLD PLANE ASPHALT CONCRETE PAVEMENT.
Location DescriptionDEL NORTE COUNTY IN AND NEAR KLAMATH FROM 1.2 MILES SOUTH OF KLAMATH RIVER OVERFLOW TO 1.1 MILE NORTH OF HAMILTON ROAD
QA Service Level1 (Verified on 03/21/2025)

Sample Information

Sample Taken Date04/22/2026 Sample Unique Key12
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 testingNot set
Sample typeAcceptance A brief description of the samplePG58-22
The quantity of what the sample constitutes5 qt cans From where was the sample collectedManufacturer
First name of sampler or witnessed byjason Last name of sampler or witnessed byhuett
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameMercer Fraser Boyd Road Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeAsphalt Binder Performance GradePG 58-22
Modified Lot number
Sublot number Tank number
Time of sample HMA Supplier
Certified Asphalt SupplierWestern Emulsions - White City Emulsion Plant - White City OR MultigradeNo
Multigrade Type Asphalt Binder Mix Number

Submitted Tests

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