Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2022-10-12-17
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993467 DEA: 032J7204 EFIS: 0322000093 |
|---|---|
| DIST-CO-RTE-PM | 03-ED-50-42.0/63.8 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Caldor Fire Repair in Twin Bridges |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 12/27/2021) |
Sample Information
| Sample Taken Date | 10/12/2022 | Sample Unique Key | 17 |
|---|---|---|---|
| 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 | 10/13/2022 |
| Sample type | Acceptance | A brief description of the sample | SS-1H |
| The quantity of what the sample constitutes | 1 jug | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | D | Last name of sampler or witnessed by | D |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Pacific Northwest Oil | Transportation Laboratory (TL) Number | 765816 |
| 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
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-10-12-17-1 AASHTO T59-22 (Verified)