Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2021-09-15-42

Project Information

Project IdentifiersProject ID: 215638
DEA: 09387904
DIST-CO-RTE-PM09-INY-190-111.6/126.1
Award Date05/12/2021
Closeout Date01/18/2022
Work DescriptionPLACE HMA OVER EXISTING PAVEMENT.
Location DescriptionINYO COUNTY NEAR FURNACE CREEK FROM 0.1 MILE WEST OF BAD WATER ROAD TO 3.6 MILES EAST OF DANTE'S VIEW ROAD
QA Service Level1 (Verified on 06/23/2021)

Sample Information

Sample Taken Date09/15/2021 Sample Unique Key42
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 testing10/01/2021
Sample typeAcceptance A brief description of the sampleErgon 70-10
The quantity of what the sample constitutes1 can From where was the sample collectedSource
First name of sampler or witnessed byW Last name of sampler or witnessed byF
Title of samplerPlant oiler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameErgon Transportation Laboratory (TL) Numberc993083
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphalt Binder Performance GradePG 70-10
ModifiedNo Lot number
Sublot number Tank number
Time of sample HMA Supplier
Certified Asphalt SupplierErgon Asphalt & Emulsions Incorporated - Las Vegas NV MultigradeNo
Multigrade Type Asphalt Binder Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments