Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2021-05-17-9
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Project Information
| Project Identifiers | Project ID: 215571 DEA: 032G0904 EFIS: 0320000228 |
|---|---|
| DIST-CO-RTE-PM | 03-ED-49-16.5/23.6 |
| Award Date | 04/28/2021 |
| Closeout Date | 07/22/2021 |
| Work Description | MICRO-SURFACING. |
| Location Description | EL DORADO COUNTY NEAR PLACERVILLE FROM DIANA STREET TO 0.3 MILE EAST OF LOTUS ROAD |
| QA Service Level | 1 (Verified on 03/22/2021) |
Sample Information
| Sample Taken Date | 05/17/2021 | Sample Unique Key | 9 |
|---|---|---|---|
| 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 | 05/20/2021 |
| Sample type | Acceptance | A brief description of the sample | Emulsion - 60/40 Diluted |
| The quantity of what the sample constitutes | 1 jug | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Shane | Last name of sampler or witnessed by | Prettyman |
| Title of sampler | TET | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Pacific North West | Transportation Laboratory (TL) Number | 788880 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Asphaltic Emulsion | Emulsion Grade | SS-1h |
|---|---|---|---|
| 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: 2021-05-17-9-1 AASHTO T59-16 (Verified)