Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2021-11-19-23
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 | 11/19/2021 | Sample Unique Key | 23 |
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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 | 12/20/2021 |
Sample type | Verification | A brief description of the sample | PG58-34M |
The quantity of what the sample constitutes | 1 split sample | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Thomas | Last name of sampler or witnessed by | Ludlum |
Title of sampler | COC | Telephone number of sampler | |
Laboratory sample identification | 21-253 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Holly Frontier | 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 58-34 M |
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Modified | Lot number | ||
Sublot number | Tank number | 512 | |
Time of sample | HMA Supplier | ||
Certified Asphalt Supplier | Holly Frontier Asphalt Company - Glendale AZ | 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: 2021-11-19-23-1 AASHTO T315-20 (Verified)