Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2024-08-06-75
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 995285 DEA: 024H7804 EFIS: 0219000004 |
|---|---|
| DIST-CO-RTE-PM | 02-SHA-89-22.0/30.6 |
| Award Date | 02/23/2024 |
| Closeout Date | 11/27/2024 |
| Work Description | PLACE HMA, SHOULDER BACKING AND THERMOPLASTIC TRAFFIC STRIPE. |
| Location Description | SHASTA COUNTY ABOUT 6 MILES EAST OF BURNEY FROM 0.2 MILE NORTH OF ROUTE 299 TO 0.6 MILE NORTH OF LAKE BRITTON ROAD |
| QA Service Level | 1 (Verified on 12/04/2023) |
Sample Information
| Sample Taken Date | 08/06/2024 | Sample Unique Key | 75 |
|---|---|---|---|
| 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 | 08/09/2024 |
| Sample type | Acceptance | A brief description of the sample | CQS-1 Emulsion |
| The quantity of what the sample constitutes | 1 bottle of emulsion | From where was the sample collected | Distributor |
| First name of sampler or witnessed by | Greg | Last name of sampler or witnessed by | DeLeon |
| Title of sampler | TET | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Albina Asphalt - Klamath FAlls, OR | Transportation Laboratory (TL) Number | C035751 |
| 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 | CQS-1 |
|---|---|---|---|
| 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: 2024-08-06-75-1 AASHTO T59-22 (Verified)
