Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2021-10-03-4
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Project Information
| Project Identifiers | Project ID: 215720 DEA: 010K4704 EFIS: 0120000101 |
|---|---|
| DIST-CO-RTE-PM | 01-DN-101-39.8/46.5 |
| Award Date | 06/03/2021 |
| Closeout Date | 10/04/2022 |
| Work Description | MICRO-SURFACING |
| Location Description | DEL NORTE COUNTY NEAR SMITH RIVER FROM 0.2 MILE NORTH OF ROWDY CREEK BRIDGE TO THE OREGON STATE LINE |
| QA Service Level | 1 (Verified on 04/30/2021) |
Sample Information
| Sample Taken Date | 10/03/2021 | Sample Unique Key | 4 |
|---|---|---|---|
| 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 | 10/19/2021 |
| Sample type | Department Acceptance | A brief description of the sample | MSE |
| The quantity of what the sample constitutes | 1 jug | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | J | Last name of sampler or witnessed by | Mills |
| Title of sampler | Intermountain | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | na | Transportation Laboratory (TL) Number | na |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
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: 2021-10-03-4-1 AASHTO T59-16 (Verified)