Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2022-05-04-26

Project Information

Project IdentifiersProject ID: 993471
DEA: 061C4604
EFIS: 0621000168
DIST-CO-RTE-PM06-KER-223-R10.6/R20.1
Award Date02/10/2022
Closeout Date07/29/2022
Work DescriptionRESURFACE WITH HMA (TYPE A) AND POLYMER ASPHALT EMULSION SEAL COAT.
Location DescriptionKERN COUNTY NEAR ARVIN FROM ROUTE 223/99 SEPARATION TO COMANCHE DRIVE
QA Service Level1 (Verified on 01/03/2022)

Sample Information

Sample Taken Date05/04/2022 Sample Unique Key26
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 testing05/10/2022
Sample typeAcceptance A brief description of the sampleEMULSION
The quantity of what the sample constitutes1 OF 2 BOTTLES From where was the sample collectedOther
First name of sampler or witnessed byTALLY Last name of sampler or witnessed byOIL INC
Title of samplerQC Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameTALLY OIL INC Transportation Laboratory (TL) NumberC772550
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphaltic Emulsion Emulsion GradeCSS-1h
Lot NumberNot set Sub LotNot set

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-05-04-26-1AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))Juan GomezCT HQ - Sacramento Asphalt Binder Laboratory05/11/2022Juan Gomez
Yes
05/12/2022