Sample Record

Owner Lab

  • Veleroo - Coolidge

DIME Sample ID 2021-03-30-2

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 Date03/30/2021 Sample Unique Key2
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 testing03/30/2021
Sample typeQuality Control A brief description of the sampleAsphalt Binder Sample
The quantity of what the sample constitutes2 of 2 cans From where was the sample collectedFabricator
First name of sampler or witnessed byDon Last name of sampler or witnessed byPowell
Title of samplerCOC supplier Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameSan Joaquin Refinery 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 58-16
ModifiedNo Lot number
Sublot number Tank number1
Time of sample7am HMA Supplier
Asphalt Binder SupplierSan Joaquin Refinery - Bakersfield CA MultigradeNot set
Multigrade TypeNot set HMA Design ID

Submitted Tests

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