Sample Record
Owner Lab
- Veleroo - Coolidge
DIME Sample ID 2021-03-30-2
Project Information
| Project Identifiers | Project ID: 44444 DEA: ASCP EFIS: ASCP |
|---|---|
| DIST-CO-RTE-PM | 59--- |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Special project for submitting Sample information for Asphalt Supplier Certification Program. |
| Location Description | Not set |
| QA Service Level | NOT VERIFIED |
Sample Information
| Sample Taken Date | 03/30/2021 | Sample Unique Key | 2 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 03/30/2021 | Sample type | Quality Control |
| A brief description of the sample | Asphalt Binder Sample | The quantity of what the sample constitutes | 2 of 2 cans |
| From where was the sample collected | Fabricator | First name of sampler or witnessed by | Don |
| Last name of sampler or witnessed by | Powell | Title of sampler | COC supplier |
| Telephone number of sampler | Laboratory sample identification | ||
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | San Joaquin Refinery | |
| 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 58-16 |
|---|---|---|---|
| Modified | No | Lot number | |
| Sublot number | Tank number | 1 | |
| Time of sample | 7am | HMA Supplier | |
| Certified Asphalt Supplier | San Joaquin Refinery - Bakersfield CA | Multigrade | Not set |
| Multigrade Type | Not set | Asphalt Binder Mix Number | Not set |
| HMA Type | Not set | HMA Supplier Mix ID Number | Not set |
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. | |||
