Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2020-07-27-24
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214593 DEA: 09363704 EFIS: 0914000030 |
|---|---|
| DIST-CO-RTE-PM | 09-INY-168-16.0/17.7 |
| Award Date | 02/14/2020 |
| Closeout Date | 10/09/2020 |
| Work Description | PLACE MICRO-SURFACING AND STRIPING AND SIGNAL WORK. |
| Location Description | INYO COUNTY NEAR BISHOP FROM MEADOW LANE TO PIONEER LANE |
| QA Service Level | 1 (Verified on 06/22/2020) |
Sample Information
| Sample Taken Date | 07/27/2020 | Sample Unique Key | 24 |
|---|---|---|---|
| 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 | 08/07/2020 |
| Sample type | Department Acceptance | A brief description of the sample | micro surfacing emulsion |
| The quantity of what the sample constitutes | 1 jar | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | foreman | Last name of sampler or witnessed by | Unknown |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Western Emulsions Inc | Transportation Laboratory (TL) Number | 664481 |
| 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 | MSE |
|---|---|---|---|
| Lot Number | Not set | Sub Lot | Not set |
| 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: 2020-07-27-24-4 CTM 331-September 2017 (Verified)