Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2022-08-02-39
Project Information
| Project Identifiers | Project ID: 215320 DEA: 043Q4704 EFIS: 0419000215 |
|---|---|
| DIST-CO-RTE-PM | 04-SCL-85-5.6/R17.8 |
| Award Date | 12/31/2020 |
| Closeout Date | 03/27/2023 |
| Work Description | THERMOPLASTIC TRAFFIC STRIPE AND ASPHALTIC EMULSION (FOG SEAL COAT). |
| Location Description | SANTA CLARA COUNTY FROM GUADALUPE RIVER BRIDGE TO 0.1 MILE NORTH OF STEVENS CREEK BOULEVARD OVERCROSSING |
| QA Service Level | 1 (Verified on 12/07/2020) |
Sample Information
| Sample Taken Date | 08/02/2022 | Sample Unique Key | 39 |
|---|---|---|---|
| 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 | 08/05/2022 |
| Sample type | Department Acceptance | A brief description of the sample | NO GRADE LISTED ON BOTTLES OR TL101 - DATES SHOWN AS 7/22-23/2022 AND ARE NOT SPECIFIC - 2ND BOTTLE WILL NOT BE TESTED |
| The quantity of what the sample constitutes | 2 of 2 bottles | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Clement | Last name of sampler or witnessed by | Chan |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | PACIFIC NORTHWEST | Transportation Laboratory (TL) Number | 927766 |
| 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: 2022-08-02-39-2 AASHTO T59-16 (Verified)
