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Sample Record for 2019-11-01-27

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 44444 DEA: ASCP EFIS: ASCP QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for submitting Sample information for Asphalt Supplier Certification Program.
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2019-11-01-27
TL Number from the TL Form: 7622M11419
Sample Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Verification
Type of Material: Asphalt Binder
Sample Taken Date: 11/01/2019
Date that the sample was received by the laboratory/organization performing the testing: 12/17/2019
The quantity of what the sample constitutes: 4 Cans
A brief description of the sample: Modified Asphalt Binder
From where was the sample collected: Manufacturer
Laboratory sample identification: AB195402
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Valero - Pittsburg

Material Information

Performance Grade: PG76-22M
Modified: Yes
Lot number:
Sublot number:
Tank number:
Time of sample:
HMA Supplier:
Asphalt Binder Supplier:
Multigrade:
Multigrade Type:

Test Results

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.