Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2023-04-06-19
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993694 DEA: 010L0004 EFIS: 0121000040 |
|---|---|
| DIST-CO-RTE-PM | 01-HUM-299-R22.5/R30.7 |
| Award Date | 06/09/2022 |
| Closeout Date | 09/21/2023 |
| Work Description | MICROSURFACING. |
| Location Description | HUMBOLDT COUNTY FROM REDWOOD CREEK BRIDGE TO 1.6 MILES EAST OF TITLOW HILL ROAD |
| QA Service Level | 1 (Verified on 04/19/2022) |
Sample Information
| Sample Taken Date | 04/06/2023 | Sample Unique Key | 19 |
|---|---|---|---|
| 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 | 04/12/2023 |
| Sample type | Quality Assurance | A brief description of the sample | Emulsion |
| The quantity of what the sample constitutes | 2 bottles of emulsion | From where was the sample collected | Source |
| First name of sampler or witnessed by | C | Last name of sampler or witnessed by | Taylor |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 01-0L0004 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Western Emulsion White City | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Asphaltic Emulsion | Emulsion Grade | MSE |
|---|---|---|---|
| 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: 2023-04-06-19-1 AASHTO T59-22 (Verified)