Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2020-07-29-18
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 213733 DEA: 051C85U4 EFIS: 0518000156 |
|---|---|
| DIST-CO-RTE-PM | 05-SCR-1-10.2/17.5 |
| Award Date | 02/19/2019 |
| Closeout Date | 11/15/2021 |
| Work Description | Santa Cruz 1 CAPM and Bridge Rails |
| Location Description | SANTA CRUZ COUNTY IN AND NEAR SANTA CRUZ FROM NORTH APTOS UNDERPASS TO JUNCTION ROUTE 9. |
| QA Service Level | 1 (Verified on 02/14/2019) |
Sample Information
| Sample Taken Date | 07/29/2020 | Sample Unique Key | 18 |
|---|---|---|---|
| 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 | 08/03/2020 |
| 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 | A | Last name of sampler or witnessed by | Romiza |
| Title of sampler | TET | 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 | 972757 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Asphaltic Emulsion | Emulsion Grade | SS-1h |
|---|---|---|---|
| Lot Number | Not set | Sub Lot | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-07-29-18-1 AASHTO T59-16 (Verified)