Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2021-08-01-2
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Project Information
| Project Identifiers | Project ID: 215237 DEA: 101H4204 EFIS: 1018000166 |
|---|---|
| DIST-CO-RTE-PM | 10-MER-5-17.0/22.6 |
| Award Date | 12/09/2020 |
| Closeout Date | 03/02/2022 |
| Work Description | RESURFACE WITH RUBBERIZED HOT MIXED ASPHALT. |
| Location Description | MERCED COUNTY AT AND NEAR SANTA NELLA FROM 0.5 MILE SOUTH OF ROUTE 5/152 SEPARATION TO MCCABE ROAD OVERCROSSING |
| QA Service Level | 1 (Verified on 10/23/2020) |
Sample Information
| Sample Taken Date | 08/01/2021 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | 08/09/2021 |
| Sample type | Department Acceptance | A brief description of the sample | Tack Coat |
| The quantity of what the sample constitutes | 1 bottle | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Han | Last name of sampler or witnessed by | Woli |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Pacific Northwest Oil - Stockton, CA | Transportation Laboratory (TL) Number | c828349 |
| 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: 2021-08-01-2-1 AASHTO T59-16 (Verified)