Sample Record

Owner Lab

  • CT HQ - Sacramento Hot Mix Asphalt Laboratory

DIME Sample ID 2020-06-29-24

Project Information

Project IdentifiersProject ID: 214711
DEA: 010J5004
EFIS: 0119000047
DIST-CO-RTE-PM01-DN-199-R22.1/36.4
Award Date04/08/2020
Closeout Date08/25/2020
Work DescriptionMICROSURFACING, REPLACE AC SURFACING AND THERMOPLASTIC STRIPE.
Location DescriptionDEL NORTE COUNTY NEAR PATRICK CREEK FROM PATRICK CREEK BRIDGE TO OREGON STATE LINE
QA Service Level1 (Verified on 06/04/2020)

Sample Information

Sample Taken Date06/29/2020 Sample Unique Key24
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 testing07/06/2020
Sample typeAcceptance A brief description of the sampleEmulsion- MSE
The quantity of what the sample constitutes2 bottle From where was the sample collectedJob Site
First name of sampler or witnessed byTrena Last name of sampler or witnessed byFreitas
Title of samplerTET Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameWestern Emulsions Inc Transportation Laboratory (TL) Number637058
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphaltic Emulsion Emulsion GradeMSE
Lot Number0 Sub Lot0

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-06-29-24-1CTM 331-September 2017: Method of Test for Residue by Evaporation of Latex Modified Asphalt EmulsionJuan Gomez, CT HQ - Sacramento Asphalt Binder Laboratory07/07/2020Juan Gomez
Yes
07/07/2020

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2020-06-29-24-1 CTM 331-September 2017 (Verified)