Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2020-09-10-17
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214876 DEA: 060W7604 EFIS: 0617000279 |
|---|---|
| DIST-CO-RTE-PM | 06-KER,TUL-63,65,216-Var |
| Award Date | 04/30/2020 |
| Closeout Date | 04/29/2021 |
| Work Description | COLD PLANE ASPHALT CONCRETE PAVEMENT AND PLACE RHMA-G. |
| Location Description | KERN AND TULARE COUNTIES AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 04/21/2020) |
Sample Information
| Sample Taken Date | 09/10/2020 | Sample Unique Key | 17 |
|---|---|---|---|
| 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 | 09/25/2020 |
| Sample type | Department Acceptance | A brief description of the sample | BWC Emulsion 1 jar emulsion |
| The quantity of what the sample constitutes | 1 jar | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Mauth | Last name of sampler or witnessed by | Alansiy |
| Title of sampler | ARE | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Western Emulsions Inc | Transportation Laboratory (TL) Number | 057001 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Asphaltic Emulsion | Emulsion Grade | BWC |
|---|---|---|---|
| Lot Number | Not set | Sub Lot | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-09-10-17-1 CTM 331-September 2017 (Verified)