Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-05-03-34
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 995152 DEA: 081J6404 |
|---|---|
| DIST-CO-RTE-PM | 08--- |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Not set |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 12/18/2023) |
Sample Information
| Sample Taken Date | 05/03/2024 | Sample Unique Key | 34 |
|---|---|---|---|
| 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 | 05/07/2024 |
| Sample type | Verification | A brief description of the sample | JMF verification sample |
| The quantity of what the sample constitutes | 1can | From where was the sample collected | Source |
| First name of sampler or witnessed by | Jediv | Last name of sampler or witnessed by | Vasquez |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Blue Diamond-Victorville | 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 64-10 |
|---|---|---|---|
| Modified | Lot number | ||
| Sublot number | Tank number | ||
| Time of sample | HMA Supplier | ||
| Certified Asphalt Supplier | Lunday Thagard Company-World Oil - South Gate CA | Multigrade | No |
| Multigrade Type | Asphalt Binder Mix Number |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||