Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2021-08-31-14
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Project Information
| Project Identifiers | Project ID: 215627 DEA: 032G2004 EFIS: 0321000024 |
|---|---|
| DIST-CO-RTE-PM | 03-YOL-128-0.0/9.8 |
| Award Date | 05/11/2021 |
| Closeout Date | 01/20/2022 |
| Work Description | PLACE RHMA AND REPLACE ASPHALT CONCRETE. |
| Location Description | YOLO COUNTY IN AND NEAR WINTERS FROM PUTAH CREEK BRIDGE TO ROUTE 128/505 SEPARATION |
| QA Service Level | 1 (Verified on 03/29/2021) |
Sample Information
| Sample Taken Date | 08/31/2021 | Sample Unique Key | 14 |
|---|---|---|---|
| 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 | 09/01/2021 |
| Sample type | Department Acceptance | A brief description of the sample | tack oil at 100% |
| The quantity of what the sample constitutes | 1 jug tack coat | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | kHAIR | Last name of sampler or witnessed by | mohammed |
| Title of sampler | ARE | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Pacific Northwest Oil | Transportation Laboratory (TL) Number | 817282 |
| 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: 2021-08-31-14-1 AASHTO T59-16 (Verified)