Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2021-10-27-4
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 993332 DEA: 061C3204 EFIS: 0621000073 MINOR: 06A2684 |
|---|---|
| DIST-CO-RTE-PM | 06--216-13.5/13.9 |
| Award Date | Not set |
| Closeout Date | 08/31/2023 |
| Work Description | Not set |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 10/18/2021) |
Sample Information
| Sample Taken Date | 10/27/2021 | 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 | 11/01/2021 |
| Sample type | Department Acceptance | A brief description of the sample | SS-1h |
| The quantity of what the sample constitutes | 1 bottle | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | B | Last name of sampler or witnessed by | Burkey |
| Title of sampler | ARE | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Talley Oil Madera | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | c056278 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Asphaltic Emulsion | Emulsion Grade | SS-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: 2021-10-27-4-1 AASHTO T59-16 (Verified)
