Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2024-06-12-84
Project Information
| Project Identifiers | Project ID: 995183 DEA: 010M0204 EFIS: 0122000076 |
|---|---|
| DIST-CO-RTE-PM | 01-MEN-175- |
| Award Date | 04/03/2023 |
| Closeout Date | 01/24/2025 |
| Work Description | Not set |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 09/27/2023) |
Sample Information
| Sample Taken Date | 06/12/2024 | Sample Unique Key | 84 |
|---|---|---|---|
| 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 | 06/17/2024 |
| Sample type | Acceptance | A brief description of the sample | Slurry Seal |
| The quantity of what the sample constitutes | 1/ 2 gallon of emulsion | From where was the sample collected | Source |
| First name of sampler or witnessed by | Tank | Last name of sampler or witnessed by | Operator |
| Title of sampler | Driver | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Pacific Northwest Oil | Transportation Laboratory (TL) Number | C881507 |
| 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 | MSE |
|---|---|---|---|
| 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: 2024-06-12-84-1 AASHTO T59-22 (Verified)
