Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2023-04-05-74
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 | 04/05/2023 | Sample Unique Key | 74 |
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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 | 05/08/2023 |
Sample type | Verification | A brief description of the sample | Tank 3 |
The quantity of what the sample constitutes | 2 of 2, split sample | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Shawn | Last name of sampler or witnessed by | Smith |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | 17206416042302 | Linked DIME Sample ID | 2023040569 |
The fabricator/manufacturer/facility name | Corona, CA | 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 | ||
Time of sample | 8:00 am | HMA Supplier | |
Certified Asphalt Supplier | Seventeen Twenty Oil Company - Corona CA | 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 |
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No results found. |
Test File Attachments
DIME Test ID: 2023-04-05-74-1 AASHTO T315-22 (Verified)