Sample Record

Owner Lab

  • ZZCT DIME Development Laboratory A - Bellflower - Internal

DIME Sample ID 2024-04-24-9

Project Information

Project IdentifiersProject ID: 1
DEA: 01079734
EFIS: 0100020445
Award Date05/17/2007
Closeout Date07/22/2019
Location DescriptionStatewide
QA Service Level1 (Verified on 11/21/2012)

Sample Information

Sample Taken Date04/24/2024 Sample Unique Key9
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 testing04/24/2024
Sample typeVerification A brief description of the sample1
The quantity of what the sample constitutes1 From where was the sample collectedSource
First name of sampler or witnessed by1 Last name of sampler or witnessed by1
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility name1 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 58-16
Modified Lot number
Sublot number Tank number
Time of sample HMA Supplier
Certified Asphalt SupplierAASHTO resource 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