Sample Record
Owner Lab
- CT D01 - Crescent City Field Laboratory
DIME Sample ID 2025-06-03-22
Project Information
| Project Identifiers | Project ID: 1000651 DEA: 010M7004 EFIS: 0123000057 |
|---|---|
| DIST-CO-RTE-PM | 01-HUM-101-109.55/125.73 |
| Award Date | 08/31/2024 |
| Closeout Date | 09/09/2025 |
| Work Description | Orick Micro-Surfacing |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 09/26/2024) |
Sample Information
| Sample Taken Date | 06/03/2025 | Sample Unique Key | 22 |
|---|---|---|---|
| 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 testing | Not set |
| Sample type | Quality Assurance | A brief description of the sample | micro surfacing emulsion |
| The quantity of what the sample constitutes | 1 Quart Can | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Jason | Last name of sampler or witnessed by | Huett |
| Title of sampler | TET | Telephone number of sampler | 7078155590 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | VSS | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
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 | VSS Emutech - Redding CA | Multigrade | No |
| Multigrade Type | Asphalt Binder Mix Number |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
