Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2020-06-22-17

Project Information

Project IdentifiersProject ID: 214175
DEA: 030H4804
EFIS: 0315000198
DIST-CO-RTE-PM03-SAC-99-0.1/1.6,11.8/21.6
Award Date08/20/2019
Closeout Date08/11/2023
Work DescriptionCOLD PLANE AC PAVEMENT AND RHMA OVERLAY.
Location DescriptionSACRAMENTO COUNTY IN AND NEAR GALT FROM DRY CREEK BRIDGE TO SIMMERHORN ROAD AND IN ELK GROVE AND SACRAMENTO FROM 0.9 MILE SOUTH OF ELK GROVE BOULEVARD TO MARTIN LUTHER KING JR BOULEVARD
QA Service Level1 (Verified on 05/29/2019)

Sample Information

Sample Taken Date06/22/2020 Sample Unique Key17
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 testing06/26/2020
Sample typeDepartment Acceptance A brief description of the sampleEMULSION
The quantity of what the sample constitutes1 bottle From where was the sample collectedJob Site
First name of sampler or witnessed bySushma Last name of sampler or witnessed byLee
Title of samplerRE Telephone number of sampler916-718-8055
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameUnknown Transportation Laboratory (TL) Number777835
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphaltic Emulsion Emulsion GradeSS-1h
Lot Number0 Sub Lot0

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-06-22-17-1AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Residue and Oil Distillate (Sec. 6))Juan Gomez, CT HQ - Sacramento Asphalt Binder Laboratory06/30/2020Juan Gomez
Yes
07/02/2020

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2020-06-22-17-1 AASHTO T59-16 (Verified)