Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2020-06-03-35

Project Information

Project IdentifiersProject ID: 214059
DEA: 042K7504
EFIS: 0417000019
DIST-CO-RTE-PM04-SCL-152-7.6/M10.2
Award Date05/24/2019
Closeout Date04/12/2021
Work DescriptionROADWAY REHAB, CURB RAMPS, SIGNALS, AND STRIPING UPGRADES.
Location DescriptionSANTA CLARA COUNTY IN GILROY FROM 0.3 MILE WEST OF SANTA TERESA BOULEVARD TO ROUTE 101
QA Service Level1 (Verified on 06/04/2019)

Sample Information

Sample Taken Date06/03/2020 Sample Unique Key35
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 testing08/20/2020
Sample typeAcceptance A brief description of the sampleSS-1H 1jug emulsion
The quantity of what the sample constitutes1 jug From where was the sample collectedSource
First name of sampler or witnessed byrita Last name of sampler or witnessed byrita
Title of samplerARE Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility namePacific Northwest Oil - Stockton, CA Transportation Laboratory (TL) Number745582
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphaltic Emulsion Emulsion GradeSS-1h
Lot NumberNot set Sub LotNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments