Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2020-06-10-21
Project Information
| Project Identifiers | Project ID: 213411 DEA: 030H10U4 EFIS: 0317000246 |
|---|---|
| DIST-CO-RTE-PM | 03-SAC-5-9.7/24.9 |
| Award Date | 05/01/2019 |
| Closeout Date | 02/22/2024 |
| Work Description | Not set |
| Location Description | Construction on state highway in Sacramento County in and near Sacramento from 1.1 miles south of Elk Grove Boulevard to American River Viaduct |
| QA Service Level | 1 (Verified on 07/19/2019) |
Sample Information
| Sample Taken Date | 06/10/2020 | Sample Unique Key | 21 |
|---|---|---|---|
| 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 | 06/19/2020 |
| Sample type | Department Acceptance | A brief description of the sample | Emulsion |
| The quantity of what the sample constitutes | 1 bottle | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Jim | Last name of sampler or witnessed by | Carroll |
| Title of sampler | Material Tester | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Pacific Northwest Oil - Stockton, CA | Transportation Laboratory (TL) Number | 792909 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Asphaltic Emulsion | Emulsion Grade | SS-1h |
|---|---|---|---|
| Lot Number | 0 | Sub Lot | 0 |
| Dilution Percentage Rate | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-06-10-21-1 AASHTO T59-16 (Verified)
