Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2022-09-15-81

Project Information

Project IdentifiersProject ID: 993521
DEA: 032G3504
EFIS: 0321000116
DIST-CO-RTE-PM03-COL-20-30.5/31.8
Award Date03/08/2022
Closeout Date07/26/2023
Work DescriptionHMA (TYPE A) AND CHIP SEAL.
Location DescriptionCOLUSA COUNTY IN COLUSA FROM SIOC STREET TO FIRST STREET
QA Service Level1 (Verified on 01/20/2022)

Sample Information

Sample Taken Date09/15/2022 Sample Unique Key81
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 testing11/01/2022
Sample typeAcceptance A brief description of the samplePMCRS 2-H
The quantity of what the sample constitutes1 qt jug From where was the sample collectedJob Site
First name of sampler or witnessed byGarret Last name of sampler or witnessed byBaccala
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility namePacific Northwest Oil Transportation Laboratory (TL) Number803705
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphaltic Emulsion Emulsion GradePMCRS-2h
Lot NumberNot set Sub LotNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments