Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2020-07-08-31
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Project Information
| Project Identifiers | Project ID: 214725 DEA: 020J1304 EFIS: 0219000064 |
|---|---|
| DIST-CO-RTE-PM | 02-LAS-139-43.0/53.0 |
| Award Date | 04/10/2020 |
| Closeout Date | 10/06/2020 |
| Work Description | COLD IN-PLACE RECYCLING AND PLACE HMA (TYPE A). |
| Location Description | LASSEN COUNTY ABOUT 42 MILES NORTH OF SUSANVILLE FROM 3.8 MILES NORTH OF SLATE CREEK TO 4.7 MILES SOUTH OF WILLOW CREEK RANCH ROAD |
| QA Service Level | 1 (Verified on 03/02/2020) |
Sample Information
| Sample Taken Date | 07/08/2020 | Sample Unique Key | 31 |
|---|---|---|---|
| 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 | 07/23/2020 |
| 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 | K | Last name of sampler or witnessed by | Pawley |
| Title of sampler | Inspector | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Albina | Transportation Laboratory (TL) Number | 991117 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Asphaltic Emulsion | Emulsion Grade | Recycling Agent |
|---|---|---|---|
| Lot Number | 5 | Sub Lot | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-07-08-31-2 CTM 330-September 2017 (Verified)