Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2025-07-31-41

Project Information

Project IdentifiersProject ID: 1000363
DEA: 010H5504
EFIS: 0117000235
DIST-CO-RTE-PM01-MEN-101-55.0/64.9
Award Date08/15/2024
Closeout DateNot set
Work DescriptionHMA, RHMA, AND COLD PLANE ASPHALT CONCRETE PAVEMENT.
Location DescriptionMENDOCINO COUNTY NEAR LONGVALE FROM 2.6 MILES SOUTH OF ARNOLD BRIDGE OVERHEAD 10-179 TO 0.1 MILE NORTH OF LONG VALLEY CREEK BRIDGE 10-99
QA Service Level1 (Verified on 07/08/2024)

Sample Information

Sample Taken Date07/31/2025 Sample Unique Key41
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 testing08/12/2025
Sample typeNo Test A brief description of the sampletack coat ss 1h
The quantity of what the sample constitutes2 jugs From where was the sample collectedSource
First name of sampler or witnessed byAntonio Last name of sampler or witnessed byRoman
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameKent's oil service inc. Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form036155 Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeAsphaltic Emulsion Emulsion GradeSS-1h
Lot Number1 Sub LotNot set
Dilution Percentage Rate100% pure

Submitted Tests

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