Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2021-11-11-30

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 Date11/11/2021 Sample Unique Key30
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 testing12/09/2021
Sample typeVerification A brief description of the sampleTank 1
The quantity of what the sample constitutes1 of 3 From where was the sample collectedManufacturer
First name of sampler or witnessed byRaxon Last name of sampler or witnessed byReeve
Title of sampler Telephone number of sampler
Laboratory sample identificationPG64-28 Linked DIME Sample ID2021-11-11-28
The fabricator/manufacturer/facility namemadaras, Ca. 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 64-28
Modified Lot number
Sublot number Tank number
Time of sample HMA Supplier
Asphalt Binder SupplierAlbina Asphalt - Madras Plant - Madras OR MultigradeNo
Multigrade Type JMF Verification ID

Submitted Tests

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