Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2020-07-06-16
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Project Information
| Project Identifiers | Project ID: 214711 DEA: 010J5004 EFIS: 0119000047 |
|---|---|
| DIST-CO-RTE-PM | 01-DN-199-R22.1/36.4 |
| Award Date | 04/08/2020 |
| Closeout Date | 08/25/2020 |
| Work Description | MICROSURFACING, REPLACE AC SURFACING AND THERMOPLASTIC STRIPE. |
| Location Description | DEL NORTE COUNTY NEAR PATRICK CREEK FROM PATRICK CREEK BRIDGE TO OREGON STATE LINE |
| QA Service Level | 1 (Verified on 06/04/2020) |
Sample Information
| Sample Taken Date | 07/06/2020 | Sample Unique Key | 16 |
|---|---|---|---|
| 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 | 07/09/2020 |
| Sample type | Department Acceptance | A brief description of the sample | Emulsion- MSE |
| The quantity of what the sample constitutes | 2 bottle | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Trena | Last name of sampler or witnessed by | Freitas |
| Title of sampler | TET | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Western Emulsions Inc | Transportation Laboratory (TL) Number | 000001 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Asphaltic Emulsion | Emulsion Grade | MSE |
|---|---|---|---|
| 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: 2020-07-06-16-1 CTM 331-September 2017 (Verified)