Sample Record

Owner Lab

  • CT D09 - Field Laboratory

DIME Sample ID 2018-06-27-2

Project Information

Project IdentifiersProject ID: 212408
DEA: 09350804
EFIS: 0900020055
DIST-CO-RTE-PM09-MNO-395-80.6/84.1
Award Date07/14/2017
Closeout Date01/06/2020
Work DescriptionCONSTRUCT PULVERIZED ROADBED, HMA AND ANCHORED WIRE MESH SYSTEM.
Location DescriptionMONO COUNTY NEAR BRIDGEPORT FROM BUCKEYE ROAD TO 2.9 MILES SOUTH OF SWAUGER CANYON ROAD
QA Service Level1 (Verified on 05/03/2018)

Sample Information

Sample Taken Date06/27/2018 Sample Unique Key2
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 testingNot set
Sample typeQuality Assurance A brief description of the sampleERA Oil
The quantity of what the sample constitutes2 one quart bottles From where was the sample collectedJob Site
First name of sampler or witnessed byContractor Last name of sampler or witnessed byContractor
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 identifierNot set
Structure nameNot set

Material Information

Material TypeAsphalt Modifier Asphalt Modifier TypePASS R
HMA Design ID HMA PayNo

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.