Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2020-06-29-44

Project Information

Project IdentifiersProject ID: 214531
DEA: 043J3204
EFIS: 0415000131
DIST-CO-RTE-PM04-SCL,SM-280-11.5/20.6
Award Date01/29/2020
Closeout DateNot set
Work DescriptionReplace PCC slabs, resurface AC, place curb ramps and guardrails IN LOS ALTOS HILLS AND MENLO PARK FROM FOOTHILL EXPRESSWAY UNDERCROSSING TO 0.5 MILE NORTH OF SAND HILL ROAD OVERCROSSING
Location DescriptionNot set
QA Service Level1 (Verified on 03/06/2020)

Sample Information

Sample Taken Date06/29/2020 Sample Unique Key44
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 emulsion
The quantity of what the sample constitutes1 can From where was the sample collectedJob Site
First name of sampler or witnessed byarif Last name of sampler or witnessed bykhan
Title of samplerre Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility namepacific northwest oil Transportation Laboratory (TL) Number811371
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 NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.