Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2020-08-25-24
Project Information
| Project Identifiers | Project ID: 214731 DEA: 051M0004 EFIS: 0519000047 |
|---|---|
| DIST-CO-RTE-PM | 05-SLO-101-16.5/R21.5 |
| Award Date | 04/22/2020 |
| Closeout Date | 08/23/2021 |
| Work Description | COLD PLANE AND RHMA-GAP GRADED OVERLAY ON EXISTING ROADWAY. |
| Location Description | SAN LUIS OBISPO COUNTY IN AND NEAR PISMO BEACH FROM 0.1 MILE SOUTH OF PRICE CANYON ROAD TO SAN LUIS CREEK BRIDGE |
| QA Service Level | 1 (Verified on 05/29/2020) |
Sample Information
| Sample Taken Date | 08/25/2020 | 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 | 09/02/2020 |
| Sample type | Department Acceptance | A brief description of the sample | #1 Test emulsion CQS-1h |
| The quantity of what the sample constitutes | 1 gallon jug | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | siraj | Last name of sampler or witnessed by | sarieddine |
| Title of sampler | ARE | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | VSS Emultech | Transportation Laboratory (TL) Number | 200831A |
| 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 | CQS-1h |
|---|---|---|---|
| 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: 2020-08-25-24-1 AASHTO T59-16 (Verified)
