Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2020-04-23-16

Project Information

Project IdentifiersProject ID: 214136
DEA: 010F3604
EFIS: 0115000115
DIST-CO-RTE-PM01-HUM-101-R39.2/R48.3
Award Date07/31/2019
Closeout Date01/04/2021
Work DescriptionCOLD PLANE AC PAVEMENT, RHMA OVERLAY, AND GUARDRAIL INSTALLATION.
Location DescriptionHUMBOLDT COUNTY NEAR REDCREST, PEPPERWOOD, AND STAFFORD FROM ENGLWOOD PARK UNDERCROSSING TO EEL RIVER BRIDGE AND OVERHEAD
QA Service Level1 (Verified on 06/24/2019)

Sample Information

Sample Taken Date04/23/2020 Sample Unique Key16
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 testing05/19/2020
Sample typeAcceptance A brief description of the sampleEMULSION
The quantity of what the sample constitutes5 BOTTLES From where was the sample collectedJob Site
First name of sampler or witnessed byJack Last name of sampler or witnessed byNaylor
Title of samplerMat Tester Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameWestern Emulsions Inc Transportation Laboratory (TL) Number899093
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphaltic Emulsion Emulsion GradeCSS-1h
Lot Number0 Sub Lot0

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-04-23-16-1AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Residue and Oil Distillate (Sec. 6))Juan GomezCT HQ - Sacramento Asphalt Binder Laboratory05/20/2020Juan Gomez
Yes
05/20/2020
2020-04-23-16-2AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Residue and Oil Distillate (Sec. 6))Juan GomezCT HQ - Sacramento Asphalt Binder Laboratory05/20/2020Juan Gomez
Yes
05/20/2020
2020-04-23-16-3AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Residue and Oil Distillate (Sec. 6))Juan GomezCT HQ - Sacramento Asphalt Binder Laboratory05/20/2020Juan Gomez
Yes
05/21/2020Sample #3, 5/6/20
2020-04-23-16-4AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Residue and Oil Distillate (Sec. 6))Juan GomezCT HQ - Sacramento Asphalt Binder Laboratory05/21/2020Juan Gomez
Yes
05/21/2020Sample #4, 5/7/20
2020-04-23-16-5AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Residue and Oil Distillate (Sec. 6))Juan GomezCT HQ - Sacramento Asphalt Binder Laboratory05/21/2020Juan Gomez
Yes
05/21/2020Sample #5, 5/10/20