Sample Record
Owner Lab
- Blackburn Consulting
DIME Sample ID 2022-07-11-20
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215682 DEA: 031H1904 EFIS: 0316000065 |
|---|---|
| DIST-CO-RTE-PM | 03-SAC-80,244-M9.6/12.9,0.0/T0.8 |
| Award Date | 06/18/2021 |
| Closeout Date | Not set |
| Work Description | COLD PLANE AC PAVEMENT, PLACE RHMA AND INDIVIDUAL SLAB REPLACEMENT. |
| Location Description | SACRAMENTO COUNTY IN AND NEAR SACRAMENTO ON ROUTE 80 FROM 0.2 MILE EAST OF LONGVIEW DRIVE OVERCROSSING TO 0.4 MILE EAST OF MADISON AVENUE OVERCROSSING AND ON ROUTE 244 FROM 0.3 MILE NORTH OF AUBURN BOULEVARD TO CONNECTOR TO ROUTE 80 |
| QA Service Level | 1 (Verified on 05/17/2021) |
Sample Information
| Sample Taken Date | 07/11/2022 | Sample Unique Key | 20 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | Not set |
| Sample type | Quality Assurance | A brief description of the sample | SS-1H Emulsified Asphalt |
| The quantity of what the sample constitutes | 10 Tons | From where was the sample collected | Distributor |
| First name of sampler or witnessed by | Emilio | Last name of sampler or witnessed by | Chavez |
| Title of sampler | Senior Materials Tester | Telephone number of sampler | 9167651237 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Pacific Northwest Oil - Stockton, CA | Transportation Laboratory (TL) Number | |
| 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
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||