Sample Record

DIME Sample ID 2024-08-14-79

Project Information

Project IdentifiersProject ID: 995514
DEA: 024J8204
EFIS: 0223000077
DIST-CO-RTE-PM02-MOD-299-14.7/20.0
Award Date06/20/2024
Closeout Date11/27/2024
Work DescriptionSCHAFFER MT CHIP - PLACE ASPHALT RUBBER CHIP SEAL WITH REPLACE AC SURFACING.
Location DescriptionMODOC COUNTY NEAR CANBY FROM 0.1 MILE EAST OF COUNTY ROAD 85 TO 1.7 MILES WEST OF ROUTE 139
QA Service Level1 (Verified on 12/29/2023)

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

Sample Information

Sample Taken Date08/14/2024 Sample Unique Key79
Date that the sample was received by the laboratory/organization performing the testing08/28/2024 Sample typeAcceptance
A brief description of the sampleCSS-1H FOG SEAL The quantity of what the sample constitutes1 jar
From where was the sample collectedJob Site First name of sampler or witnessed byoperator
Last name of sampler or witnessed byoperator Title of sampler
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameAlbina - Klamath Falls, OR
Transportation Laboratory (TL) NumberC858018 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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Sample File Attachments

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Test File Attachments