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Sample Record for 2021-07-19-8

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

Project Information

Project ID: 212581 DEA: 030H1004 EFIS: 0315000076 QA Service Level: 1
DIST-CO-RTE-PM: 03-ED-50-37.6
Work Description:
Location Description:
Contractor Name: Myers & Sons Construction
Contractor Address: 4600 Northgate Boulevard, Suite 100, Sacramento, CA 95834-1121
Resident Engineer: Jarrett Woodruff Structure Rep.: Bill Brook

Sample Information

DIME Sample ID: 2021-07-19-8
TL Number from the TL Form: c059284
Sample Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Acceptance
Type of Material: Asphaltic Emulsion
Sample Taken Date: 07/19/2021
Date that the sample was received by the laboratory/organization performing the testing: 07/22/2021
The quantity of what the sample constitutes: 1 bottle
A brief description of the sample: Emulstion
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Pacific Northwest Oil - Stockton, CA

Material Information

Emulsion Grade: SS-1h
Lot Number: 0
Sub Lot: 0

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.