Sample Record

Owner Lab

  • CT D05 - Field Laboratory

DIME Sample ID 2020-01-30-19

Project Information

Project IdentifiersProject ID: 214634
DEA: 051M2404
EFIS: 0519000085
DIST-CO-RTE-PM05-SB-101-21.8/22.0
Award DateNot set
Closeout DateNot set
Work DescriptionGoleta Cross Slope Correction
Location DescriptionNot set
QA Service Level1 (Verified on 02/20/2020)

Sample Information

Sample Taken Date01/30/2020 Sample Unique Key19
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 testing01/31/2020
Sample typeVerification A brief description of the sample1 Quart can
The quantity of what the sample constitutesVerification Testing From where was the sample collectedOther
First name of sampler or witnessed bySal Last name of sampler or witnessed byZamora
Title of sampler Telephone number of sampler
Laboratory sample identificationD5 20-J-001 Linked DIME Sample ID
The fabricator/manufacturer/facility nameWorld Oil Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphalt Binder Performance Grade64-10
ModifiedNo Lot numberNot set
Sublot numberNot set Tank numberNot set
Time of sampleNot set HMA SupplierNot set
Asphalt Binder SupplierNot set MultigradeNot set
Multigrade TypeNot set JMF Verification ID JMF3513-2020-93

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.