Sample Record

Owner Lab

  • Atlas - Denver

DIME Sample ID 2026-06-23-49

Project Information

Project IdentifiersProject ID: 1001025
DEA: 023J3304
EFIS: 0222000035
DIST-CO-RTE-PM02-SHA,TEH-5,44,273-Var
Award Date05/13/2025
Closeout DateNot set
Work DescriptionFURNISH AND PLACE POLYESTER CONCRETE OVERLAY AND REPLACE JOINT SEALS.
Location DescriptionSHASTA AND TEHAMA COUNTIES AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 03/21/2025)

Sample Information

Sample Taken Date06/23/2026 Sample Unique Key49
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 testing07/01/2026
Sample typeQuality Assurance A brief description of the sample58-22
The quantity of what the sample constitutes2 CANS OF BINDER 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 ID2026-06-23-41
The fabricator/manufacturer/facility nameJF Shea Fawndale Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form854574 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 SupplierJF Shea - Fawndale
Certified Asphalt SupplierAlbina Asphalt - Klamath Falls - Klamath Falls OR MultigradeNo
Multigrade Type Asphalt Binder Mix Number

Submitted Tests

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