Sample Record

DIME Sample ID 2024-06-27-24

Project Information

Project IdentifiersProject ID: 994671
DEA: 010H8004
EFIS: 0118000110
DIST-CO-RTE-PM01-HUM-254-4.3/4.7
Award Date03/10/2023
Closeout Date12/02/2025
Work DescriptionProject Name: Myers Flat Permanent Restoration
Location DescriptionBridge No. 04E0041
QA Service Level1 (Verified on 04/11/2023)

Owner Lab

  • CT D01 - District 1 Materials Laboratory

Sample Information

Sample Taken Date06/27/2024 Sample Unique Key24
Date that the sample was received by the laboratory/organization performing the testing06/27/2024 Sample typeAcceptance
A brief description of the sample1 can of PG 64-16 binder The quantity of what the sample constitutes1 can of binder
From where was the sample collectedSource First name of sampler or witnessed byJamie
Last name of sampler or witnessed byKelly Title of samplerMREA
Telephone number of sampler Laboratory sample identification24-101
Linked DIME Sample ID The fabricator/manufacturer/facility nameKernen Blue Lake Plant
Transportation Laboratory (TL) Number972275 Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeAsphalt Binder Performance GradePG 64-16
ModifiedNo Lot number
Sublot number Tank number
Time of sample HMA Supplier
Certified Asphalt SupplierVSS Emutech - Redding CA MultigradeNo
Multigrade Type Asphalt Binder Mix Number
HMA TypeNot set HMA Supplier Mix ID NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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