Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2024-08-28-82

Project Information

Project IdentifiersProject ID: 1000261
DEA: 010M6704
EFIS: 0123000054
DIST-CO-RTE-PM01-DN-101-R27.9/31.2
Award Date06/21/2024
Closeout DateNot set
Work DescriptionMICRO-SURFACING, PAVEMENT DELINEATION, AND REPLACE AC SURFACING.
Location DescriptionDEL NORTE COUNTY NEAR CRESCENT CITY FROM WASHINGTON BOULEVARD OVERCROSSING TO ELK VALLEY CROSS ROAD
QA Service Level1 (Verified on 04/15/2024)

Sample Information

Sample Taken Date08/28/2024 Sample Unique Key82
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 testing09/13/2024
Sample typeAcceptance A brief description of the sampleEmulsion
The quantity of what the sample constitutes2 of 2 bottles From where was the sample collectedSource
First name of sampler or witnessed byUnknown Last name of sampler or witnessed byUnknown
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameWestern Emulsions Inc Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphaltic Emulsion Emulsion GradeMSE
Lot NumberNot set Sub LotNot set
Dilution Percentage RateNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments