Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2020-08-20-33

Project Information

Project IdentifiersProject ID: 214605
DEA: 051K7904
EFIS: 0519000026
DIST-CO-RTE-PM05-SB-166-R51.1/55.0
Award Date02/26/2020
Closeout Date08/23/2021
Work DescriptionCOLD IN-PLACE RECYCLING AND RHMA OVERLAY.
Location DescriptionSANTA BARBARA COUNTY ABOUT 10 MILES WEST OF NEW CUYAMA FROM CUYAMA RIVER BRIDGE TO 3.1 MILES EAST OF COTTONWOOD CANYON ROAD
QA Service Level1 (Verified on 04/08/2020)

Sample Information

Sample Taken Date08/20/2020 Sample Unique Key33
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 testing09/02/2020
Sample typeAcceptance A brief description of the samplePASS-R emulsion
The quantity of what the sample constitutes1 jug From where was the sample collectedJob Site
First name of sampler or witnessed byM Last name of sampler or witnessed byLozano
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameErgon Asphalt and Emulsions Transportation Laboratory (TL) Number200820A-1
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
2020-08-20-33-1CTM 330-September 2017: Method of Test for Residue by Evaporation of Emulsified AsphaltEva TorresCT HQ - Sacramento Asphalt Binder Laboratory09/03/2020Justin Ellis
Yes
09/08/2020