Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2023-06-06-53

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 Date06/06/2023 Sample Unique Key53
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 testing06/16/2023
Sample typeVerification A brief description of the sampleTank 511
The quantity of what the sample constitutes1 of 1 From where was the sample collectedManufacturer
First name of sampler or witnessed byThomas Last name of sampler or witnessed byLudlum
Title of sampler Telephone number of sampler
Laboratory sample identification23-112 Linked DIME Sample ID2023-06-06-44
The fabricator/manufacturer/facility nameGlendale, AZ 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 58-34 M
ModifiedYes Lot number
Sublot number Tank number
Time of sample6:30 HMA Supplier
Certified Asphalt SupplierHolly Frontier Asphalt Company - Glendale AZ MultigradeNo
Multigrade Type 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