Sample Record
Owner Lab
- CT D09 - Bishop Field Laboratory
DIME Sample ID 2018-06-27-2
Project Information
Project Identifiers | Project ID: 212408 DEA: 09350804 EFIS: 0900020055 |
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DIST-CO-RTE-PM | 09-MNO-395-80.6/84.1 |
Award Date | 07/14/2017 |
Closeout Date | 01/06/2020 |
Work Description | CONSTRUCT PULVERIZED ROADBED, HMA AND ANCHORED WIRE MESH SYSTEM. |
Location Description | MONO COUNTY NEAR BRIDGEPORT FROM BUCKEYE ROAD TO 2.9 MILES SOUTH OF SWAUGER CANYON ROAD |
QA Service Level | 1 (Verified on 05/03/2018) |
Sample Information
Sample Taken Date | 06/27/2018 | Sample Unique Key | 2 |
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Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | Not set |
Sample type | Quality Assurance | A brief description of the sample | ERA Oil |
The quantity of what the sample constitutes | 2 one quart bottles | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Contractor | Last name of sampler or witnessed by | Contractor |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Western Emulsions Inc | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | Not set | |
Structure name | Not set |
Material Information
Material Type | Asphalt Modifier | Asphalt Modifier Type | PASS R |
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Asphalt Modifier Mix Number | Not set | HMA Pay | No |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |