Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2021-09-28-45

Project Information

Project IdentifiersProject ID: 215680
DEA: 010K4804
EFIS: 0120000102
DIST-CO-RTE-PM01-LAK-20-0.7/5.2,5.9/8.2
Award Date06/16/2021
Closeout Date04/26/2022
Work DescriptionRHMA OVERLAY, COLD PLANE AC PAVEMENT AND PRECOATED AGGREGATE.
Location DescriptionLAKE COUNTY NEAR UPPER LAKE FROM 0.1 MILE WEST OF BLUE LAKES ROAD TO 0.4 MILE WEST OF WITTER SPRINGS ROAD AND FROM 0.1 MILE EAST OF BACHELOR CREEK BRIDGE TO 0. 1 MILE WEST OF ROUTE 29
QA Service Level1 (Verified on 04/28/2021)

Sample Information

Sample Taken Date09/28/2021 Sample Unique Key45
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 testing08/20/2021
Sample typeAcceptance A brief description of the sampleNO TEST
The quantity of what the sample constitutes1 can From where was the sample collectedSource
First name of sampler or witnessed byUnknown Last name of sampler or witnessed byUnknown
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameWestern Emulsions - White City OR Transportation Laboratory (TL) Number930509
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphalt Rubber Binder Asphalt modifier supplier
Performance GradePG 64-16 Lot number
Sublot number Asphalt Rubber Binder Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments