Sample Record
Owner Lab
- Veleroo - Coolidge
DIME Sample ID 2021-03-29-4
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 44444 DEA: ASCP EFIS: ASCP |
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DIST-CO-RTE-PM | 59--- |
Award Date | Not set |
Closeout Date | Not set |
Work Description | Special project for submitting Sample information for Asphalt Supplier Certification Program. |
Location Description | Not set |
QA Service Level | NOT VERIFIED |
Sample Information
Sample Taken Date | 03/29/2021 | Sample Unique Key | 4 |
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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 testing | 03/30/2021 |
Sample type | Quality Control | A brief description of the sample | Asphalt Binder |
The quantity of what the sample constitutes | 1 of 2, split sample | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Don | Last name of sampler or witnessed by | Powell |
Title of sampler | COC Program | Telephone number of sampler | |
Laboratory sample identification | 7010033021 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | San Joaquin Refinery | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Asphalt Binder | Performance Grade | PG 70-10 |
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Modified | No | Lot number | |
Sublot number | Tank number | ||
Time of sample | HMA Supplier | ||
Certified Asphalt Supplier | San Joaquin Refinery - Bakersfield CA | Multigrade | Not set |
Multigrade Type | Not set | Asphalt Binder Mix Number | Not set |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2021-03-29-4-1 AASHTO T240-17 (Verified)