Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2020-09-15-18
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214690 DEA: 060W7104 |
|---|---|
| DIST-CO-RTE-PM | 06-FRE-33-47.4/53.4,72.8/77.6 |
| Award Date | 04/16/2020 |
| Closeout Date | 04/21/2021 |
| Work Description | COLD IN-PLACE RECYCLING WITH HMA (TYPE A) OVERLAY. |
| Location Description | FRESNO COUNTY NEAR MENDOTA AND FIREBAUGH FROM MOUNTAIN VIEW AVENUE TO ADAMS AVENUE AND FROM DOUGLAS AVENUE TO FAIRFAX AVENUE |
| QA Service Level | 1 (Verified on 02/11/2020) |
Sample Information
| Sample Taken Date | 09/15/2020 | Sample Unique Key | 18 |
|---|---|---|---|
| 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 | 09/28/2020 |
| Sample type | Department Acceptance | A brief description of the sample | Asphaltic Emulsion PASS-R |
| The quantity of what the sample constitutes | 1 jar | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | E | Last name of sampler or witnessed by | Fegley |
| Title of sampler | QC | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Western Emulsions Inc | Transportation Laboratory (TL) Number | 865352 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Asphaltic Emulsion | Emulsion Grade | PASS-R |
|---|---|---|---|
| Lot Number | 3 | Sub Lot | 5 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-09-15-18-1 CTM 330-September 2017 (Verified)