Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2021-05-17-4

Project Information

Project IdentifiersProject ID: 214700
DEA: 030F2804
EFIS: 0312000069
DIST-CO-RTE-PM03-SAC-99-7.1/9.4
Award Date01/21/2021
Closeout Date08/21/2023
Work DescriptionDillard Overcrossing and McConnel Overhead
Location DescriptionHwy 99, Elk Grove, CA
QA Service Level1 (Verified on 04/20/2020)

Sample Information

Sample Taken Date05/17/2021 Sample Unique Key4
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 testing05/18/2021
Sample typeAcceptance A brief description of the sampleSS-1h
The quantity of what the sample constitutes1 jag From where was the sample collectedJob Site
First name of sampler or witnessed byJARPAL Last name of sampler or witnessed byKALKAT
Title of samplerARE Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameJobsite Transportation Laboratory (TL) Numberc850179
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 Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments