Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2025-08-22-33
Project Information
| Project Identifiers | Project ID: 1000608 DEA: 100Q2104 EFIS: 1017000171 |
|---|---|
| DIST-CO-RTE-PM | 10-AMA-88-5.5/14.3 |
| Award Date | 11/25/2024 |
| Closeout Date | Not set |
| Work Description | REPAIR FAILED PAVEMENT AND RESURFACE EXISTING PAVEMENT WITH HMA. |
| Location Description | AMADOR COUNTY NEAR MARTELL FROM 0.7 MILE WEST OF IONE-BUENA VISTA ROAD TO 0.2 MILE EAST OF KENNEDY FLAT ROAD |
| QA Service Level | 1 (Verified on 10/02/2024) |
Sample Information
| Sample Taken Date | 08/22/2025 | Sample Unique Key | 33 |
|---|---|---|---|
| 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 | 08/22/2025 |
| Sample type | Quality Assurance | A brief description of the sample | SS1H Fog Seal |
| The quantity of what the sample constitutes | 2 Cans | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Jonathan | Last name of sampler or witnessed by | Ngai |
| Title of sampler | RE | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Teichert Vernalis | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | 043646 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Asphaltic Emulsion | Emulsion Grade | SS-1h |
|---|---|---|---|
| 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: 2025-08-22-33-1 AASHTO T59-22 (Verified)
