Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2024-06-12-92

Project Information

Project IdentifiersProject ID: 215420
DEA: 060R2104
EFIS: 0614000058
DIST-CO-RTE-PM06-MAD-41-6.2/9.2
Award Date01/18/2023
Closeout DateNot set
Work DescriptionFOR CONSTRUCTION ON STATE HIGHWAY IN MADERA COUNTY NEAR MADERA FROM 0.1 MILE NORTH OF AVENUE 15 TO 2.2 MILES NORTH OF FRIANT MADERA CANAL BRIDGE
Location DescriptionMADERA COUNTY NEAR MADERA FROM 0.1 MILE NORTH OF AVENUE 15 TO 2.2 MILES NORTH OF FRIANT MADERA CANAL BRIDGE
QA Service Level1 (Verified on 01/06/2021)

Sample Information

Sample Taken Date06/12/2024 Sample Unique Key92
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 testing06/26/2024
Sample typeAcceptance A brief description of the sampleSS-1H 80/20 HMA 3/4 TYPE A
The quantity of what the sample constitutes1 JAR From where was the sample collectedDistributor
First name of sampler or witnessed byTUAN Last name of sampler or witnessed byHGUGA
Title of samplerTE Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameTALLY OIL INC Transportation Laboratory (TL) NumberC000035
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

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

Submitted Tests

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