Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2021-11-11-32
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 | 11/11/2021 | Sample Unique Key | 32 |
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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 | 12/17/2021 |
Sample type | Verification | A brief description of the sample | 6 |
The quantity of what the sample constitutes | 1 of 3 | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Gabriela | Last name of sampler or witnessed by | Diaz |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | 111121-6 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Mojave, CA. | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Asphalt Binder | Performance Grade | PG 64-16 |
---|---|---|---|
Modified | Lot number | ||
Sublot number | Tank number | ||
Time of sample | HMA Supplier | ||
Certified Asphalt Supplier | Western Emulsions - White City Emulsion Plant - White City OR | Multigrade | No |
Multigrade Type | Asphalt Binder Mix Number | Not set |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
---|---|---|---|---|---|---|---|---|
No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |