Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2025-08-20-47

Project Information

Project IdentifiersProject ID: 994673
DEA: 033F0704
EFIS: 0312000054
DIST-CO-RTE-PM03-SAC-51-2.0/3.5
Award Date08/17/2023
Closeout DateNot set
Work DescriptionAmerican River Bridge Rehabilitation
Location DescriptionNot set
QA Service Level1 (Verified on 05/15/2023)

Sample Information

Sample Taken Date08/20/2025 Sample Unique Key47
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 testing08/22/2025
Sample typeNo Test A brief description of the sampless-1h emulsion
The quantity of what the sample constitutes1 Jug of Emulsion From where was the sample collectedJob Site
First name of sampler or witnessed byInderpal Last name of sampler or witnessed byDhaliwal
Title of samplerARE 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) Form789974 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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