Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2024-10-01-105

Project Information

Project IdentifiersProject ID: 44444
DEA: ASCP
EFIS: ASCP
DIST-CO-RTE-PM59---
Award DateNot set
Closeout DateNot set
Work DescriptionSpecial project for submitting Sample information for Asphalt Supplier Certification Program.
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date10/01/2024 Sample Unique Key105
Will the laboratory/organization for which you are a member perform testing on this material sample?Yes Date that the sample was received by the laboratory/organization performing the testing10/23/2024
Sample typeVerification A brief description of the sampleTank 25K2
The quantity of what the sample constitutes1 of 2, split sample From where was the sample collectedManufacturer
First name of sampler or witnessed byLuis Last name of sampler or witnessed byTorres
Title of sampler Telephone number of sampler
Laboratory sample identification241001-5822-01 Linked DIME Sample ID2024-10-01-57
The fabricator/manufacturer/facility nameCoolidge, AZ Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphalt Binder Performance GradePG 58-22
ModifiedNo Lot number
Sublot number Tank number25K2
Time of sample HMA Supplier
Certified Asphalt SupplierWestern Emulsions Incorporated - Coolidge AZ MultigradeNo
Multigrade Type Asphalt Binder Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments