Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2022-04-04-42

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 Date04/04/2022 Sample Unique Key42
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 testing05/13/2022
Sample typeVerification A brief description of the sampleTank 1
The quantity of what the sample constitutes1 of 1 From where was the sample collectedManufacturer
First name of sampler or witnessed byKeven Last name of sampler or witnessed byHeitschmidt
Title of sampler Telephone number of sampler
Laboratory sample identificationPG64164422T1 Linked DIME Sample ID2022-04-04-33
The fabricator/manufacturer/facility nameChowchilla, 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 64-16
ModifiedNo Lot number
Sublot number Tank number1
Time of sample HMA Supplier
Certified Asphalt SupplierAlbina Asphalt - Chowchilla CA MultigradeNo
Multigrade Type Asphalt Binder Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments