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Sample Record for 2018-06-28-2

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 213121 DEA: 09373504 EFIS: 0918000003 QA Service Level: 1
DIST-CO-RTE-PM: 09-MNO-395-93.7/106.3
Work Description: CONSTRUCT HOT MIX ASPHALT OVER COLD IN-PLACE RECYCLED PAVEMENT.
Location Description: MONO COUNTY NEAR WALKER FROM ROUTE 108 TO EASTSIDE LANE
Contractor Name: ROAD AND HIGHWAY BUILDERS OF CALIFORNIA, INC.
Contractor Address: P.O. BOX 70846, Reno, NV 89570
Resident Engineer: Lee Scotese Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2018-06-28-2
TL Number from the TL Form:
Sample Submitted By Organization: CT D09 - Field Laboratory
Sample Organization Contact: (760) 872-5211
Type of Sample: Quality Assurance
Type of Material: Asphalt Modifier
Sample Taken Date: 06/28/2018
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 3 one quart bottles
A brief description of the sample: ERA Oil
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Western Emulsions Inc

Material Information

Asphalt Modifier Type: PASS R

Test Results

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.