Sample Record

Owner Lab

  • CT D09 - Bishop Field Laboratory

DIME Sample ID 2018-06-13-6

Project Information

Project IdentifiersProject ID: 213121
DEA: 09373504
EFIS: 0918000003
DIST-CO-RTE-PM09-MNO-395-93.7/106.3
Award Date04/24/2018
Closeout Date12/02/2019
Work DescriptionCONSTRUCT HOT MIX ASPHALT OVER COLD IN-PLACE RECYCLED PAVEMENT.
Location DescriptionMONO COUNTY NEAR WALKER FROM ROUTE 108 TO EASTSIDE LANE
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date06/13/2018 Sample Unique Key6
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 testingNot set
Sample typeQuality Assurance A brief description of the sampleERA Oil
The quantity of what the sample constitutes5 One Quart Bottles From where was the sample collectedJob Site
First name of sampler or witnessed byDaniel Flures Last name of sampler or witnessed byDaniel Flures
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameWestern Emulsions Inc Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAsphalt Binder Performance GradePASS R
ModifiedNot set Lot numberNot set
Sublot numberNot set Tank numberNot set
Time of sampleNot set HMA SupplierNot set
Certified Asphalt SupplierNot set MultigradeNot set
Multigrade TypeNot set Asphalt Binder Mix NumberNot set
HMA PayNo

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