Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2020-09-15-16
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 214694 DEA: 09380604 EFIS: 0919000055 |
|---|---|
| DIST-CO-RTE-PM | 09-INY-136,190-7.0/17.7,24.6/24.8 |
| Award Date | 04/03/2020 |
| Closeout Date | 12/04/2020 |
| Work Description | COLD IN-PLACE RECYCLING AND HOT MIX ASPHALT OVERLAY. |
| Location Description | INYO COUNTY AT AND NEAR KEELER ON ROUTE 136 FROM 0.8 MILE WEST OF DOLOMITE LOOP ROAD EAST TO ROUTE 190 AND ON ROUTE 190 FROM ROUTE 136 TO 0.3 MILE EAST OF ROUTE 136 |
| QA Service Level | 1 (Verified on 12/04/2020) |
Sample Information
| Sample Taken Date | 09/15/2020 | 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 | 09/25/2020 |
| Sample type | Department Acceptance | A brief description of the sample | PASS-R ASPHALTIC 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 | B | Last name of sampler or witnessed by | Navman |
| Title of sampler | TET | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Irwindale Facility | Transportation Laboratory (TL) Number | 992956 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Asphaltic Emulsion | Emulsion Grade | PASS-R |
|---|---|---|---|
| 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: 2020-09-15-16-1 CTM 330-September 2017 (Verified)