Sample Record
Owner Lab
- CT D01 - District 1 Materials Laboratory
DIME Sample ID 2024-06-27-24
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 994671 DEA: 010H8004 EFIS: 0118000110 |
|---|---|
| DIST-CO-RTE-PM | 01-HUM-254-4.3/4.7 |
| Award Date | 03/10/2023 |
| Closeout Date | Not set |
| Work Description | Project Name: Myers Flat Permanent Restoration |
| Location Description | Bridge No. 04E0041 |
| QA Service Level | 1 (Verified on 04/11/2023) |
Sample Information
| Sample Taken Date | 06/27/2024 | Sample Unique Key | 24 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 06/27/2024 |
| Sample type | Acceptance | A brief description of the sample | 1 can of PG 64-16 binder |
| The quantity of what the sample constitutes | 1 can of binder | From where was the sample collected | Source |
| First name of sampler or witnessed by | Jamie | Last name of sampler or witnessed by | Kelly |
| Title of sampler | MREA | Telephone number of sampler | |
| Laboratory sample identification | 24-101 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Kernen Blue Lake Plant | Transportation Laboratory (TL) Number | 972275 |
| 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 | No | Lot number | |
| Sublot number | Tank number | ||
| Time of sample | HMA Supplier | ||
| Certified Asphalt Supplier | VSS Emutech - Redding CA | Multigrade | No |
| Multigrade Type | Asphalt Binder Mix Number |
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 |
|---|---|---|---|
| No results found. | |||