Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2024-10-08-99

Project Information

Project IdentifiersProject ID: 995005
DEA: 060X7004
EFIS: 0619000009
DIST-CO-RTE-PM06-TUL-63-5.8/L8.0
Award Date09/21/2023
Closeout DateNot set
Work DescriptionCOLD PLANE PAVEMENT, PLACE RHMA-G, MODIFY LIGHTING AND SIGNAL SYSTEM.
Location DescriptionTULARE COUNTY IN VISALIA FROM 0.2 MILE SOUTH OF CALDWELL AVENUE TO ROUTE 63/198 SEPARATION
QA Service Level1 (Verified on 07/27/2023)

Sample Information

Sample Taken Date10/08/2024 Sample Unique Key99
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 testing10/24/2024
Sample typeVerification A brief description of the sampleSS1H 100%
The quantity of what the sample constitutes1 Can From where was the sample collectedSource
First name of sampler or witnessed bySean Last name of sampler or witnessed byHAAR
Title of samplerConsultant Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameTALLY OIL INC Transportation Laboratory (TL) Number06-0X7004
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeAsphaltic Emulsion Emulsion GradeSS-1h
Lot NumberNot set Sub LotNot set
Dilution Percentage RateNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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