Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2022-09-24-9

Project Information

Project IdentifiersProject ID: 993193
DEA: 031H18U4
EFIS: 0321000106
DIST-CO-RTE-PM03-NEV-80-13.0/16.5
Award Date11/04/2021
Closeout Date12/14/2023
Work DescriptionROADWAY EXCAVATION, JPCP AND FURNISH POLYESTER CONCRETE OVERLAY.
Location DescriptionNEVADA COUNTY IN AND NEAR TRUCKEE FROM 0.2 MILE WEST OF DONNER PARK OVERCROSSING TO ROUTE 89/267 SEPARATION
QA Service Level1 (Verified on 08/23/2021)

Sample Information

Sample Taken Date09/24/2022 Sample Unique Key9
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 testing09/26/2022
Sample typeQuality Assurance A brief description of the sampleSS-1H 1jug tack coat emulsion
The quantity of what the sample constitutes1 jug From where was the sample collectedJob Site
First name of sampler or witnessed byDustan Last name of sampler or witnessed byKliethermes
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID2022-09-24-6
The fabricator/manufacturer/facility namePacific Northwest Oil Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphaltic Emulsion Emulsion GradeSS-1h
Lot Number1 Sub Lot11

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-09-24-9-1AASHTO T59-22: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))Eslam Mosallem, CT HQ - Sacramento Asphalt Binder Laboratory09/27/2022Eslam Mosallem
Yes
09/27/2022

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2022-09-24-9-1 AASHTO T59-22 (Verified)