Sample Record
Owner Lab
- Seventeen Twenty Oil Company
DIME Sample ID 2024-05-08-84
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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 | 05/08/2024 | Sample Unique Key | 84 |
|---|---|---|---|
| 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 | 05/08/2024 |
| Sample type | Quality Control | A brief description of the sample | Tank 3 |
| The quantity of what the sample constitutes | 1 of 1 | 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 | 17206416052402 | Linked DIME Sample ID | |
| 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 | Lot number | ||
| Sublot number | Tank number | ||
| Time of sample | 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 |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-05-08-84-1 AASHTO T316-17 (Verified)