Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2023-10-02-88

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 Date10/02/2023 Sample Unique Key88
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 testing11/14/2023
Sample typeVerification A brief description of the sampleTank 35
The quantity of what the sample constitutes1 of 1 From where was the sample collectedManufacturer
First name of sampler or witnessed byKeven Last name of sampler or witnessed byHeitschmidt
Title of sampler Telephone number of sampler
Laboratory sample identificationPG582210223KF35 Linked DIME Sample ID2023-10-02-78
The fabricator/manufacturer/facility nameAlbina Asphalt - Klamath FAlls, OR 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 58-22
ModifiedNo Lot number
Sublot number Tank number35
Time of sample HMA Supplier
Certified Asphalt SupplierAlbina Asphalt (Klamath Falls Plant) - Klamath Falls OR 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