Sample Record

Owner Lab

  • CT HQ - Hot Mix Asphalt Laboratory

DIME Sample ID 2020-04-23-22

Project Information

Project IdentifiersProject ID: 214136
DEA: 010F3604
EFIS: 0115000115
DIST-CO-RTE-PM01-HUM-101-R39.2/R48.3
Award Date07/31/2019
Closeout Date01/04/2021
Work DescriptionCOLD PLANE AC PAVEMENT, RHMA OVERLAY, AND GUARDRAIL INSTALLATION.
Location DescriptionHUMBOLDT COUNTY NEAR REDCREST, PEPPERWOOD, AND STAFFORD FROM ENGLWOOD PARK UNDERCROSSING TO EEL RIVER BRIDGE AND OVERHEAD
QA Service Level1 (Verified on 06/24/2019)

Sample Information

Sample Taken Date04/23/2020 Sample Unique Key22
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 testing05/26/2020
Sample typeAcceptance A brief description of the samplePG 64-16 Asphalt Binder #1 test
The quantity of what the sample constitutes4 cans From where was the sample collectedSource
First name of sampler or witnessed byJack Last name of sampler or witnessed byNaylor
Title of samplerMat Tester Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameNational Blending Company Transportation Laboratory (TL) Number899094
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphalt Binder Performance GradePG 64-16
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 HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments