DIME - Sample Record for DIME Sample ID 2021-09-21-12

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DIME » All Projects » Project - DEA: 061A9904 » Sample 2021-09-21-12 » Sample Details

Sample Record

Owner Lab

CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2021-09-21-12

Project Information

Project Identifiers	Project ID: 215580 DEA: 061A9904 EFIS: 0620000146
DIST-CO-RTE-PM	06-KER,TUL-43,46-Var
Award Date	04/29/2021
Closeout Date	12/01/2021
Work Description	COLD PLANE AC PAVEMENT, REPLACE WITH HMA AND RESURFACE WITH CHIP SEAL.
Location Description	KERN AND TULARE COUNTIES AT VARIOUS LOCATIONS
QA Service Level	1 (Verified on 03/22/2021)

Sample Information

Sample Taken Date	09/21/2021	Sample Unique Key	12
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	09/24/2021
Sample type	Acceptance	A brief description of the sample	CSS-1 50/50
The quantity of what the sample constitutes	1 jug	From where was the sample collected	Job Site
First name of sampler or witnessed by	G	Last name of sampler or witnessed by	Mohsen
Title of sampler	ARE	Telephone number of sampler
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	Talley Oil Madera	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	CSS-1
Lot Number	Not set	Sub Lot	Not set

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Submitted By	Verified?	Release Date	Test Comments	Actions
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Sample File Attachments

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Test File Attachments