Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2022-11-16-39

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 Date11/16/2022 Sample Unique Key39
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 testing12/16/2022
Sample typeVerification A brief description of the sampleTank 2001
The quantity of what the sample constitutes1 quart can From where was the sample collectedManufacturer
First name of sampler or witnessed byMolly Last name of sampler or witnessed byGibney
Title of sampler Telephone number of sampler
Laboratory sample identificationAC-2189-WS Linked DIME Sample ID2022-11-15-49
The fabricator/manufacturer/facility nameWest Sacramento,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 number2001
Time of sample8am HMA Supplier
Certified Asphalt SupplierVSS Emultech - West Sacramento CA MultigradeYes
Multigrade TypePG 64-16 / PG 64-10 Asphalt Binder Mix Number

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