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Sample Record for 2021-09-15-42

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

Project Information

Project ID: 215638 DEA: 09387904 QA Service Level: 1
DIST-CO-RTE-PM: 09-INY-190-111.6/126.1
Work Description: PLACE HMA OVER EXISTING PAVEMENT.
Location Description: INYO COUNTY NEAR FURNACE CREEK FROM 0.1 MILE WEST OF BAD WATER ROAD TO 3.6 MILES EAST OF DANTE'S VIEW ROAD
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-09-15-42
TL Number from the TL Form: c993083
Sample Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Acceptance
Type of Material: Asphalt Binder
Sample Taken Date: 09/15/2021
Date that the sample was received by the laboratory/organization performing the testing: 10/01/2021
The quantity of what the sample constitutes: 1 can
A brief description of the sample: Ergon 70-10
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Ergon

Material Information

Performance Grade: PG 70-10
Modified: No
Lot number:
Sublot number:
Tank number:
Time of sample:
HMA Supplier:
Asphalt Binder Supplier: Ergon Asphalt & Emulsions Incorporated - Las Vegas NV
Multigrade: No
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.