Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2022-08-01-86

Project Information

Project IdentifiersProject ID: 215744
DEA: 033H93U4
EFIS: 0321000091
DIST-CO-RTE-PM03-YUB,BUT-70-25.5/25.8,0.0/3.8
Award Date07/15/2021
Closeout DateNot set
Work DescriptionWIDEN ROADWAY & SHOULDER, ADD TURN LANES & CONSTRUCT BRIDGE.
Location DescriptionYUBA AND BUTTE COUNTIES ABOUT 11 MILES NORTH OF MARYSVILLE FROM 0.8 MILE NORTH OF CHANDLER ROAD TO 0.2 MILE SOUTH OF EAST GRIDLEY ROAD
QA Service Level1 (Verified on 05/20/2021)

Sample Information

Sample Taken Date08/01/2022 Sample Unique Key86
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing11/01/2022
Sample typeDepartment Acceptance A brief description of the sampletack oil 100%
The quantity of what the sample constitutes1qt jug From where was the sample collectedJob Site
First name of sampler or witnessed byGarret Last name of sampler or witnessed byBaccala
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameTeichert Transportation Laboratory (TL) Number803702
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphaltic Emulsion Emulsion GradeSS-1h
Lot NumberNot set Sub LotNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments