Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2022-06-21-27
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993588 DEA: 061E1004 EFIS: 0621000211 |
|---|---|
| DIST-CO-RTE-PM | 06-FRE-33,180-61.4/R62.5,23.5/24.6 |
| Award Date | 04/21/2022 |
| Closeout Date | 12/21/2022 |
| Work Description | SLURRY SEAL AND MODIFY ELECTRICAL SYSTEMS. |
| Location Description | FRESNO COUNTY IN MENDOTA ON ROUTE 33 FROM BELMONT AVENUE TO BASS AVENUE AND ON ROUTE 180 FROM ROUTE 33 TO BELMONT AVENUE |
| QA Service Level | 1 (Verified on 03/07/2022) |
Sample Information
| Sample Taken Date | 06/21/2022 | Sample Unique Key | 27 |
|---|---|---|---|
| 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 | 06/28/2022 |
| Sample type | Department Acceptance | A brief description of the sample | Slurry Seal Oil PMCQS-1H |
| The quantity of what the sample constitutes | 2 jars | From where was the sample collected | Source |
| First name of sampler or witnessed by | VSS Emultech | Last name of sampler or witnessed by | _ |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | VSS Emultech | Transportation Laboratory (TL) Number | 040348 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Asphaltic Emulsion | Emulsion Grade | PMCQS-1h |
|---|---|---|---|
| Lot Number | Not set | Sub Lot | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-06-21-27-1 AASHTO T59-16 (Verified)