Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2021-11-23-34
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 | 11/23/2021 | Sample Unique Key | 34 |
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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 | 12/08/2021 |
Sample type | Verification | A brief description of the sample | Tank 35 |
The quantity of what the sample constitutes | 1 of 5 | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Keven | Last name of sampler or witnessed by | Heitschmidt |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | PG5822112321KF35 | Linked DIME Sample ID | 2021112320 |
The fabricator/manufacturer/facility name | Klamath Falls, OR | 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 58-22 |
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Modified | Lot number | ||
Sublot number | Tank number | ||
Time of sample | HMA Supplier | ||
Certified Asphalt Supplier | Albina Asphalt - Klamath Falls Plant - Klamath Falls OR | Multigrade | No |
Multigrade Type | 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: 2021-11-23-34-2 AASHTO T315-20 (Verified)