Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2025-07-24-34

Project Information

Project IdentifiersProject ID: 993253
DEA: 033F0604
EFIS: 0312000052
DIST-CO-RTE-PM03-GLE-162-76.3/78.6
Award Date02/02/2022
Closeout DateNot set
Work DescriptionNot set
Location DescriptionNot set
QA Service Level1 (Verified on 04/08/2022)

Sample Information

Sample Taken Date07/24/2025 Sample Unique Key34
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 testing07/28/2025
Sample typeNo Test A brief description of the sampless1h 100%
The quantity of what the sample constitutes1 Jug From where was the sample collectedJob Site
First name of sampler or witnessed byNicholas Last name of sampler or witnessed byGrabert
Title of samplerTET Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility namePacific Northwest Oil Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormC715056 Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeAsphaltic Emulsion Emulsion GradeSS-1h
Lot NumberNot set Sub LotNot set
Dilution Percentage Rate100% pure

Submitted Tests

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