Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2020-09-02-16

Project Information

Project IdentifiersProject ID: 214917
DEA: 010J5204
EFIS: 0119000048
DIST-CO-RTE-PM01-MEN-20-33.6/34.6
Award Date06/04/2020
Closeout Date01/06/2021
Work DescriptionCOLD PLANE AC PAVEMENT AND PLACE HMA (TYPE A).
Location DescriptionMENDOCINO COUNTY IN WILLITS FROM BAECHTEL CREEK BRIDGE TO MONICA LANE
QA Service Level1 (Verified on 06/10/2020)

Sample Information

Sample Taken Date09/02/2020 Sample Unique Key16
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 testing09/02/2020
Sample typeDepartment Acceptance A brief description of the sampleTack coat
The quantity of what the sample constitutes1 gallon From where was the sample collectedJob Site
First name of sampler or witnessed byB Last name of sampler or witnessed byAendricks
Title of samplerConsultant Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameUnknown Transportation Laboratory (TL) Number759144
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeAsphaltic Emulsion Emulsion GradeSS-1h
Lot NumberNot set Sub LotNot set
Dilution Percentage RateNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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