Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2026-08-03-29
Project Information
| Project Identifiers | Project ID: 1001985 DEA: 010L9904 EFIS: 0122000073 |
|---|---|
| DIST-CO-RTE-PM | 01-DN-199-T0.6/0.8 |
| Award Date | 01/30/2026 |
| Closeout Date | Not set |
| Work Description | DN 199 Construct Roundabout |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 03/04/2026) |
Sample Information
| Sample Taken Date | 08/03/2026 | Sample Unique Key | 29 |
|---|---|---|---|
| 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 | 08/05/2026 |
| Sample type | Production Start-Up | A brief description of the sample | 1 can of PG 64-16 binder |
| The quantity of what the sample constitutes | 1 Quart Can | From where was the sample collected | Source |
| First name of sampler or witnessed by | Lee | Last name of sampler or witnessed by | Renick |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 26-155 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Tidewater Smith River | Transportation Laboratory (TL) Number | 025860 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | 025860 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Asphalt Binder | Performance Grade | PG 64-16 |
|---|---|---|---|
| Modified | Lot number | 1 | |
| Sublot number | 1 | Tank number | |
| Time of sample | HMA Supplier | Tidewater- Smith River | |
| Certified Asphalt Supplier | Albina Asphalt - Klamath Falls - Klamath Falls OR | Multigrade | No |
| Multigrade Type | Asphalt Binder Mix Number | ||
| HMA Type | 1/2" HMA 15% RAP PG 64-16 | HMA Supplier Mix ID Number | 122000073 |
Submitted Tests
Test File Attachments
DIME Test ID: 2026-08-03-29-1 AASHTO T315-24 (Verified)
DIME Test ID: 2026-08-03-29-2 AASHTO T315-24 (Verified)
