Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2022-10-07-15
Project Information
| Project Identifiers | Project ID: 993801 DEA: 032G3704 EFIS: 0321000118 |
|---|---|
| DIST-CO-RTE-PM | 03-COL,YOL-16-0.1/7.3,0.0/0.7 |
| Award Date | 06/27/2022 |
| Closeout Date | 07/26/2023 |
| Work Description | PARTIAL DEPTH RECYCLING, PLACE RHMA-G, & COLD PLANE AC PAVEMENT. |
| Location Description | COLUSA AND YOLO COUNTIES NEAR RUMSEY FROM 0.1 MILE SOUTH OF ROUTE 20 TO 1.3 MILES NORTH OF ROAD 40 |
| QA Service Level | 1 (Verified on 05/09/2022) |
Sample Information
| Sample Taken Date | 10/07/2022 | Sample Unique Key | 15 |
|---|---|---|---|
| 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 | 10/10/2022 |
| Sample type | Department Acceptance | A brief description of the sample | emulsion - tack coat |
| The quantity of what the sample constitutes | 1 jug | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Pepo | Last name of sampler or witnessed by | Rostigues |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Pacific Northwest Oil - Stockton, CA | Transportation Laboratory (TL) Number | 789694 |
| 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: 2022-10-07-15-1 AASHTO T59-22 (Verified)
