Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2025-09-04-53

Project Information

Project IdentifiersProject ID: 1001089
DEA: 010P3604
EFIS: 0124000224
DIST-CO-RTE-PM01-LAK-175-0.0/R8.2
Award Date05/22/2025
Closeout Date12/02/2025
Work DescriptionHM1 type Maintenance project. REPLACE AC SURFACING, MICRO-SURFACING, AND PAVEMENT DELINEATION.
Location DescriptionLAKE COUNTY NEAR LAKEPORT FROM THE MENDOCINO COUNTY LINE TO 1.3 MILES EAST OF MATHEWS ROAD
QA Service Level1 (Verified on 05/01/2025)

Sample Information

Sample Taken Date09/04/2025 Sample Unique Key53
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 testing09/12/2025
Sample typeQuality Assurance A brief description of the sample100% MSE Emulsion
The quantity of what the sample constitutes3 Jugs From where was the sample collectedJob Site
First name of sampler or witnessed byCHANH Last name of sampler or witnessed byB
Title of samplerARE Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameVSS Emultech Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form036157 Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeAsphaltic Emulsion Emulsion GradeMSE
Lot NumberNot set Sub LotNot set
Dilution Percentage Rate100% pure

Submitted Tests

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