Sample Record
Owner Lab
- CT HQ - Sacramento Materials Management Branch Field Office
DIME Sample ID 2022-05-19-76
Project Information
Project Identifiers | DEA: No Project |
---|---|
DIST-CO-RTE-PM | --- |
Award Date | Not set |
Closeout Date | 11/01/2022 |
Work Description | Special project identifier for material not associated with a project |
Location Description | Not set |
QA Service Level | NOT VERIFIED |
Sample Information
Sample Taken Date | 05/19/2022 | Sample Unique Key | 76 |
---|---|---|---|
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 | 10/05/2022 |
Sample type | Verification | A brief description of the sample | Test |
The quantity of what the sample constitutes | Test | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Test | Last name of sampler or witnessed by | Test |
Title of sampler | Test | Telephone number of sampler | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Test | 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 58-16 |
---|---|---|---|
Modified | Yes | Lot number | |
Sublot number | Tank number | ||
Time of sample | HMA Supplier | ||
Certified Asphalt Supplier | AASHTO Resource - Frederick MD | Multigrade | Yes |
Multigrade Type | PG 58-22 / PG 58-16 | Asphalt Binder Mix Number | Not set |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
---|---|---|---|---|---|---|---|---|
No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
---|---|---|---|
No results found. |