Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2021-04-11-2

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 213406
DEA: 030F2504
EFIS: 0300000075
DIST-CO-RTE-PM03-YOL,SAC-80-R11.1/R11.7,M0.0/M0.5
Award Date08/21/2020
Closeout DateNot set
Work DescriptionSAC RIVER BOH (BRYTE BEND)
Location DescriptionSACRAMENTO AND YOLO COUNTIES IN WEST SACRAMENTO AND SACRAMENTO FROM 0.1 MILE WEST OF REED AVENUE UNDERCROSSING TO 0.1 MILE EAST OF SACRAMENTO RIVER BRIDGE AND OVERHEAD
QA Service Level1 (Verified on 06/07/2018)

Sample Information

Sample Taken Date04/11/2021 Sample Unique Key2
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 testing04/12/2021
Sample typeAcceptance A brief description of the sampleEmulsion
The quantity of what the sample constitutes1 of 1 jug From where was the sample collectedJob Site
First name of sampler or witnessed bySam Last name of sampler or witnessed byMosallem
Title of samplerTET Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility namePacific Northwest Oil Transportation Laboratory (TL) Number783778
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
2021-04-11-2-1AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))Ruben MaciasCT HQ - Sacramento Asphalt Binder Laboratory04/13/2021Ruben Macias
Yes
04/15/2021