Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2020-06-30-39
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214587 DEA: 101J1604 EFIS: 1018000180 |
|---|---|
| DIST-CO-RTE-PM | 10-STA-132-27.9/41.0 |
| Award Date | 03/02/2020 |
| Closeout Date | 04/26/2021 |
| Work Description | COLD PLANE AC PAVEMENT, RHMA OVERLAY AND SLURRY SEAL. |
| Location Description | STANISLAUS COUNTY IN AND NEAR WATERFORD FROM G STREET TO 1.2 MILES EAST OF RUSHING ROAD |
| QA Service Level | 1 (Verified on 01/24/2020) |
Sample Information
| Sample Taken Date | 06/30/2020 | Sample Unique Key | 39 |
|---|---|---|---|
| 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 | 07/17/2020 |
| Sample type | Department Acceptance | A brief description of the sample | Emulsion |
| The quantity of what the sample constitutes | 1 jug | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | John | Last name of sampler or witnessed by | Yang |
| Title of sampler | ARE | Telephone number of sampler | 111-111-1111 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Western Refining | Transportation Laboratory (TL) Number | 828077 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Asphaltic Emulsion | Emulsion Grade | PMCQS-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: 2020-06-30-39-1 CTM 331-September 2017 (Verified)