Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2020-06-16-21
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 213274 DEA: 010C8104 EFIS: 0113000060 |
|---|---|
| DIST-CO-RTE-PM | 01-LAK-20,53-31.1/31.8,7.0/7.4 |
| Award Date | 06/11/2018 |
| Closeout Date | 07/09/2021 |
| Work Description | CONSTRUCT ROUNDABOUT |
| Location Description | LAKE COUNTY NEAR CLEARLAKE OAKS ON ROUTE 20 FROM 0.5 MILE WEST TO 0.2 MILE EAST OF ROUTE 53 AND ON ROUTE 53 FROM 0.4 MILE SOUTH OF ROUTE 20 TO ROUTE 20 |
| QA Service Level | 1 (Verified on 04/27/2018) |
Sample Information
| Sample Taken Date | 06/16/2020 | Sample Unique Key | 21 |
|---|---|---|---|
| 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 testing | 06/19/2020 |
| Sample type | Acceptance | A brief description of the sample | EMULSION |
| The quantity of what the sample constitutes | 2 bottles | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Alfredo | Last name of sampler or witnessed by | Cervantes |
| Title of sampler | Operator | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Pacific Northwest Oil - Stockton, CA | Transportation Laboratory (TL) Number | 036326 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Asphaltic Emulsion | Emulsion Grade | SS-1h |
|---|---|---|---|
| Lot Number | 0 | Sub Lot | 0 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-06-16-21-1 AASHTO T59-16 (Verified)