Sample Record
Owner Lab
- CT D03 - Rocklin Construction Field Office
DIME Sample ID 2023-07-20-26
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994561 DEA: 032G8604 EFIS: 0322000250 |
|---|---|
| DIST-CO-RTE-PM | 03-PLA-80-R19.0/24.5 |
| Award Date | 05/09/2023 |
| Closeout Date | 05/23/2024 |
| Work Description | RHMA, COLD PLANE AC PVMT, & MODIFYING TRAFFIC MONITORING STATIONS. |
| Location Description | PLACER COUNTY 0.6 MILE EAST OF AUBURN FROM 0.1 MILE EAST OF RUSSELL ROAD OVERCROSSING TO 1.1 MILES EAST OF PLACER HILLS OVERCROSSING |
| QA Service Level | 1 (Verified on 05/15/2023) |
Sample Information
| Sample Taken Date | 07/20/2023 | Sample Unique Key | 26 |
|---|---|---|---|
| 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 testing | 07/21/2023 |
| Sample type | Department Acceptance | A brief description of the sample | SS-1H ASPHALTIC EMULSION |
| The quantity of what the sample constitutes | 280 tons | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | David | Last name of sampler or witnessed by | Drane |
| Title of sampler | ARE | Telephone number of sampler | 530-330-2727 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Pacific Northwest Oil | 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 | SS-1h |
|---|---|---|---|
| Lot Number | Not set | Sub Lot | Not set |
| Dilution Percentage Rate | Not set |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||