Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2021-07-30-1
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Project Information
| Project Identifiers | Project ID: 215623 DEA: 010K5404 EFIS: 0120000114 |
|---|---|
| DIST-CO-RTE-PM | 01-HUM-101-R48.3/58.8 |
| Award Date | 05/10/2021 |
| Closeout Date | 11/01/2021 |
| Work Description | MICRO-SURFACING, CRACK TREATMENT AND THERMOPLASTIC TRAFFIC STRIPE. |
| Location Description | HUMBOLDT COUNTY NEAR SCOTIA FROM EEL RIVER BOH (RICHARD FLEISCHER MEMORIAL) TO 1.1 MILES NORTH OF ROUTE 36/101 SEPARATION |
| QA Service Level | 1 (Verified on 04/07/2021) |
Sample Information
| Sample Taken Date | 07/30/2021 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 07/30/2021 |
| Sample type | Acceptance | A brief description of the sample | MSE |
| The quantity of what the sample constitutes | 2 jugs | From where was the sample collected | Source |
| First name of sampler or witnessed by | Jack | Last name of sampler or witnessed by | Dougherty |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | VSS Emultech | Transportation Laboratory (TL) Number | 00000 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Asphaltic Emulsion | Emulsion Grade | MSE |
|---|---|---|---|
| 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: 2021-07-30-1-1 AASHTO T59-16 (Verified)