Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2022-06-14-22
Project Information
| Project Identifiers | Project ID: 215662 DEA: 060T3504 EFIS: 0615000065 COOP: 061608 |
|---|---|
| DIST-CO-RTE-PM | 06-TUL-137-16.6 |
| Award Date | 06/25/2021 |
| Closeout Date | 07/27/2023 |
| Work Description | ROADWAY EXCAVATION, HMA (TYPE A), AND INSTALL SIGNALS. |
| Location Description | TULARE COUNTY IN TULARE AT ROUTE 137/99 SEPARATION |
| QA Service Level | 1 (Verified on 04/16/2021) |
Sample Information
| Sample Taken Date | 06/14/2022 | Sample Unique Key | 22 |
|---|---|---|---|
| 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 | 06/20/2022 |
| Sample type | Preliminary | A brief description of the sample | ss-1h 70/30 |
| The quantity of what the sample constitutes | 1 jar | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Gehad | Last name of sampler or witnessed by | Mohsen |
| 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 | 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: 2022-06-14-22-1 AASHTO T59-16 (Verified)
