Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2022-10-10-79
Project Information
Project Identifiers | Project ID: 44444 DEA: ASCP EFIS: ASCP |
---|---|
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 | 10/10/2022 | Sample Unique Key | 79 |
---|---|---|---|
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 | 11/16/2022 |
Sample type | Verification | A brief description of the sample | Tank 40 |
The quantity of what the sample constitutes | 1 quart can, split sample | 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 | PG6416101022KF40 | Linked DIME Sample ID | 2022-10-10-75 |
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 64-16 |
---|---|---|---|
Modified | No | Lot number | |
Sublot number | Tank number | 40 | |
Time of sample | HMA Supplier | ||
Certified Asphalt Supplier | Albina Asphalt - Klamath Falls Plant - Klamath Falls OR | Multigrade | Yes |
Multigrade Type | PG 64-16 / PG 64-10 | Asphalt Binder Mix Number |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
---|---|---|---|
No results found. |
Test File Attachments
DIME Test ID: 2022-10-10-79-1 AASHTO T315-22 (Verified)