Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2025-08-18-57
Project Information
| Project Identifiers | Project ID: 1001030 DEA: 010N8204 EFIS: 0124000115 |
|---|---|
| DIST-CO-RTE-PM | 01-LAK-29-23.6/33.1 |
| Award Date | 04/29/2025 |
| Closeout Date | 12/02/2025 |
| Work Description | MICRO-SURFACING, REPLACE AC SURFACING, AND DELINEATION. |
| Location Description | LAKE COUNTY NEAR KELSEYVILLE FROM 3.23 MILES NORTH OF SEIGLER CREEK BRIDGE TO COLE CREEK ROAD |
| QA Service Level | 1 (Verified on 03/21/2025) |
Sample Information
| Sample Taken Date | 08/18/2025 | Sample Unique Key | 57 |
|---|---|---|---|
| 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 testing | 08/28/2025 |
| Sample type | Quality Assurance | A brief description of the sample | MSE Emulsion |
| The quantity of what the sample constitutes | 3 Jugs | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Talley | Last name of sampler or witnessed by | O |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Doolite const. | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | 035576 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Asphaltic Emulsion | Emulsion Grade | MSE |
|---|---|---|---|
| Lot Number | Not set | Sub Lot | Not set |
| Dilution Percentage Rate | 100% pure |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2025-08-18-57-1 AASHTO T59-22 (Verified)
