Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2021-07-20-17
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Project Information
| Project Identifiers | Project ID: 215531 DEA: 060Y1004 EFIS: 0620000134 |
|---|---|
| DIST-CO-RTE-PM | 06-FRE-168-L27.4/39.7 |
| Award Date | 04/15/2021 |
| Closeout Date | 11/22/2021 |
| Work Description | PLACE POLYMER ASPHALTIC EMULSION (SEAL COAT). |
| Location Description | FRESNO COUNTY NEAR PRATHER FROM 0.1 MILE EAST OF LODGE ROAD TO 0.1 MILE WEST OF CRESSMAN ROAD |
| QA Service Level | 1 (Verified on 03/10/2021) |
Sample Information
| Sample Taken Date | 07/20/2021 | 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 | 07/23/2021 |
| Sample type | Department Acceptance | A brief description of the sample | Emulstion - PMCRS-2h |
| The quantity of what the sample constitutes | 1 jug | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Tuan | Last name of sampler or witnessed by | Nguyen |
| Title of sampler | TE | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Western Emulsions Inc | Transportation Laboratory (TL) Number | c816397 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Asphaltic Emulsion | Emulsion Grade | PMCRS-2h |
|---|---|---|---|
| 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: 2021-07-20-17-1 AASHTO T59-16 (Verified)