Sample Record

Owner Lab

  • CT D09 - Bishop Field Laboratory

DIME Sample ID 2023-05-09-119

Project Information

Project IdentifiersProject ID: 994401
DEA: 09379304
EFIS: 0919000007
DIST-CO-RTE-PM09-INY-127-21.0/34.5,41.8/49.4
Award Date01/23/2023
Closeout Date12/27/2023
Work DescriptionPARTIAL DEPTH RECYCLE AND HOT MIX ASPHALT (TYPE A).
Location DescriptionINYO COUNTY NEAR SHOSHONE FROM 4.6 MILES NORTH OF ROUTE 178 WEST TO 7.6 MILES SOUTH OF ROUTE 190 AND FROM 0.3 MILE SOUTH OF ROUTE 190 TO NEVADA STATE LINE
QA Service Level1 (Verified on 08/02/2023)

Sample Information

Sample Taken Date05/09/2023 Sample Unique Key119
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 testing05/12/2023
Sample typeDepartment Acceptance A brief description of the sampleEmulsified Recycling Agent
The quantity of what the sample constitutes1 bottle From where was the sample collectedSource
First name of sampler or witnessed byLeonard Last name of sampler or witnessed byLopez
Title of samplerTack Truck Operator Telephone number of sampler
Laboratory sample identificationE-66 Linked DIME Sample ID
The fabricator/manufacturer/facility nameErgon Asphalt and Emulsions Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeAsphaltic Emulsion Emulsion GradeRecycling Agent
Lot NumberNot set Sub LotNot set
Dilution Percentage RateNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
2023-05-09-119-1CTM 330-September 2017: Method of Test for Residue by Evaporation of Emulsified AsphaltBrian Young, CT D09 - Bishop Field Laboratory05/13/202306/27/2023
Yes
06/27/2023Public - Test Data Visible

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2023-05-09-119-1 CTM 330-September 2017 (Verified)