Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2022-08-18-41
Project Information
Project Identifiers | Project ID: 215320 DEA: 043Q4704 EFIS: 0419000215 |
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DIST-CO-RTE-PM | 04-SCL-85-5.6/R17.8 |
Award Date | 12/31/2020 |
Closeout Date | 03/27/2023 |
Work Description | THERMOPLASTIC TRAFFIC STRIPE AND ASPHALTIC EMULSION (FOG SEAL COAT). |
Location Description | SANTA CLARA COUNTY FROM GUADALUPE RIVER BRIDGE TO 0.1 MILE NORTH OF STEVENS CREEK BOULEVARD OVERCROSSING |
QA Service Level | 1 (Verified on 12/07/2020) |
Sample Information
Sample Taken Date | 08/18/2022 | Sample Unique Key | 41 |
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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 | 08/23/2022 |
Sample type | Department Acceptance | A brief description of the sample | Fog Seal |
The quantity of what the sample constitutes | 2 of 2 bottles | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Clement | Last name of sampler or witnessed by | Chan |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | PACIFIC NORTHWEST | Transportation Laboratory (TL) Number | 927770 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Asphaltic Emulsion | Emulsion Grade | SS-1h |
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Lot Number | Not set | Sub Lot | Not set |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2022-08-18-41-1 AASHTO T59-16 (Verified)