Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2024-09-04-77
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Project Information
| Project Identifiers | Project ID: 994696 DEA: 100Y7704 EFIS: 1015000008 |
|---|---|
| DIST-CO-RTE-PM | 10-MPA-140-12.0/22.1 |
| Award Date | 07/11/2023 |
| Closeout Date | 09/24/2025 |
| Work Description | REPLACE AC SURFACING, PLACE HMA AND RHMA, AND BRIDGE REPAIR. |
| Location Description | MARIPOSA COUNTY NEAR MARIPOSA FROM 1.3 MILES EAST OF CATHEYS VALLEY PARK TO 0.1 MILE NORTH OF ROUTE 49 |
| QA Service Level | 1 (Verified on 05/09/2023) |
Sample Information
| Sample Taken Date | 09/04/2024 | Sample Unique Key | 77 |
|---|---|---|---|
| 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 | 09/13/2024 |
| Sample type | Acceptance | A brief description of the sample | TACK OIL 3/4 HMA PG 64-28 M |
| The quantity of what the sample constitutes | 1 Can | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | G.A | Last name of sampler or witnessed by | VANOR |
| Title of sampler | ARE | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | PACIFIC NORTH WEST OIL | Transportation Laboratory (TL) Number | 023436 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Asphaltic Emulsion | Emulsion Grade | SS-1h |
|---|---|---|---|
| Lot Number | Not set | Sub Lot | Not set |
| Dilution Percentage Rate | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-09-04-77-1 AASHTO T59-22 (Verified)