Sample Record

Owner Lab

  • CT D09 - Field Laboratory

DIME Sample ID 2018-06-28-2

Project Information

Project IdentifiersProject ID: 213121
DEA: 09373504
EFIS: 0918000003
DIST-CO-RTE-PM09-MNO-395-93.7/106.3
Award Date04/24/2018
Closeout Date12/02/2019
Work DescriptionCONSTRUCT HOT MIX ASPHALT OVER COLD IN-PLACE RECYCLED PAVEMENT.
Location DescriptionMONO COUNTY NEAR WALKER FROM ROUTE 108 TO EASTSIDE LANE
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date06/28/2018 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 constitutes3 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.