Print Report | Back to Sample Detail

Sample Record for 2021-09-21-12

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

Project Information

Project ID: 215580 DEA: 061A9904 EFIS: 0620000146 QA Service Level: 1
DIST-CO-RTE-PM: 06-KER,TUL-43,46-Var
Work Description: COLD PLANE AC PAVEMENT, REPLACE WITH HMA AND RESURFACE WITH CHIP SEAL.
Location Description: KERN AND TULARE COUNTIES AT VARIOUS LOCATIONS
Contractor Name: AMERICAN PAVEMENT SYSTEMS , Inc.
Contractor Address: 1012 11th Street, Modesto, CA 95354
Resident Engineer: Jake Garcia Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-09-21-12
TL Number from the TL Form: 00000
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: 09/21/2021
Date that the sample was received by the laboratory/organization performing the testing: 09/24/2021
The quantity of what the sample constitutes: 1 jug
A brief description of the sample: CSS-1 50/50
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Talley Oil Madera

Material Information

Emulsion Grade: CSS-1
Lot Number:
Sub Lot:

Test Results