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Sample Record for 2021-10-12-33

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: 2021-10-12-33
TL Number from the TL Form:
Sample Submitted By Organization: Albina Asphalt
Sample Organization Contact: (503) 539-3830
Type of Sample: Verification
Type of Material: Asphalt Binder
Sample Taken Date: 10/12/2021
Date that the sample was received by the laboratory/organization performing the testing: 10/12/2021
The quantity of what the sample constitutes: 1 of 1
A brief description of the sample: Tank 34
From where was the sample collected: Manufacturer
Laboratory sample identification: PG5834M101221KF34
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Klamath Falls, OR

Material Information

Performance Grade: PG 58-34M
Modified:
Lot number:
Sublot number:
Tank number:
Time of sample:
HMA Supplier:
Asphalt Binder Supplier: Albina Asphalt
Multigrade:
Multigrade Type:

Test Results

Test 1 of 2

DIME Test ID: 2021-10-12-33-1
Test Method: AASHTO T316-17: Standard Method of Test for Viscosity Determination of Asphalt Binder Using Rotational Viscometer
Submitted By Organization: Albina Asphalt
Organization Address: 801 Main Street,
Organization City: Vancouver
Organization State: WA
Organization Zipcode: 98686
Organization Email: keven.heitschmidt@albina.com
Organization Phone: (503) 539-3830
Data has not been verified.

Tests Assigned to this Sample

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