Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2024-08-05-49

Project Information

Project IdentifiersProject ID: 1000090
DEA: 024J9204
EFIS: 0223000087
DIST-CO-RTE-PM02-TRI-299-61.0/64.0,70.0/72.2
Award Date04/16/2024
Closeout Date11/27/2024
Work DescriptionASPHALT RUBBER CHIP SEAL WITH REPLACE ASPHALT CONCRETE SURFACING.
Location DescriptionTRINITY COUNTY NEAR DOUGLAS CITY FROM STEEL BRIDGE ROAD TO 1.5 MILES WEST OF GRASS VALLEY CREEK BRIDGE NO 05-0013 AND FROM 2.6 MILES EAST OF TRINITY DAM BOULEVARD TO THE SHASTA COUNTY LINE
QA Service Level1 (Verified on 03/18/2024)

Sample Information

Sample Taken Date08/05/2024 Sample Unique Key49
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 testing08/09/2024
Sample typeAcceptance A brief description of the sample1 bottle of emulsion
The quantity of what the sample constitutes1of1 From where was the sample collectedSource
First name of sampler or witnessed byC Last name of sampler or witnessed byB
Title of samplerTET Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameAlbina - Klamath Falls, OR Transportation Laboratory (TL) NumberC854552
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeAsphaltic Emulsion Emulsion GradeCSS-1h
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
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