Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2024-12-18-38

Project Information

Project IdentifiersProject ID: 994574
DEA: 050C7334
EFIS: 0518000116
DIST-CO-RTE-PM05-SCR-1-10.5/13.4
Award Date06/29/2023
Closeout DateNot set
Work DescriptionCONSTRUCT OVERCROSSING AND AUXILIARY LANE/ Replace Capitola Ave OC + RWs and SWs
Location DescriptionSANTA CRUZ COUNTY IN AND NEAR CITY OF CAPITOLA FROM STATE PARK DRIVE OVERCROSSING TO 0.2 MILE NORTH OF BAY AVENUE UNDERCROSSING
QA Service Level1 (Verified on 04/13/2023)

Sample Information

Sample Taken Date12/18/2024 Sample Unique Key38
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing01/14/2025
Sample typeQuality Assurance A brief description of the sampleEMULSION SS1H
The quantity of what the sample constitutes1 jug From where was the sample collectedJob Site
First name of sampler or witnessed byFernando Last name of sampler or witnessed bySantos
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameSan Juaquin Bakersfield Transportation Laboratory (TL) Number279612
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 Number1 Sub Lot1
Dilution Percentage Rate100% pure

Submitted Tests

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