Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2020-06-30-39

Project Information

Project IdentifiersProject ID: 214587
DEA: 101J1604
EFIS: 1018000180
DIST-CO-RTE-PM10-STA-132-27.9/41.0
Award Date03/02/2020
Closeout Date04/26/2021
Work DescriptionCOLD PLANE AC PAVEMENT, RHMA OVERLAY AND SLURRY SEAL.
Location DescriptionSTANISLAUS COUNTY IN AND NEAR WATERFORD FROM G STREET TO 1.2 MILES EAST OF RUSHING ROAD
QA Service Level1 (Verified on 01/24/2020)

Sample Information

Sample Taken Date06/30/2020 Sample Unique Key39
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 testing07/17/2020
Sample typeAcceptance A brief description of the sampleEmulsion
The quantity of what the sample constitutes1 jug From where was the sample collectedJob Site
First name of sampler or witnessed byJohn Last name of sampler or witnessed byYang
Title of samplerARE Telephone number of sampler 111-111-1111
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameWestern Refining Transportation Laboratory (TL) Number828077
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

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

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-06-30-39-1CTM 331-September 2017: Method of Test for Residue by Evaporation of Latex Modified Asphalt EmulsionJuan GomezCT HQ - Sacramento Asphalt Binder Laboratory07/23/2020Juan Gomez
Yes
07/27/2020