Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2022-08-10-78

Project Information

Project IdentifiersProject ID: 215777
DEA: 032H6304
EFIS: 0317000166
DIST-CO-RTE-PM03-BUT-162-18.4/19.9
Award Date08/04/2021
Closeout Date02/22/2024
Work DescriptionPLACE RUBBERIZED HMA AND ROADWAY EXCAVATION.
Location DescriptionBUTTE COUNTY IN AND NEAR OROVILLE FROM FOOTHILL BOULEVARD TO GOLD COUNTRY CASINO ENTRANCE
QA Service Level1 (Verified on 06/01/2021)

Sample Information

Sample Taken Date08/10/2022 Sample Unique Key78
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 typeDepartment Acceptance A brief description of the sampletack oil
The quantity of what the sample constitutes1 QT JUG From where was the sample collectedJob Site
First name of sampler or witnessed byDustin Last name of sampler or witnessed byWatts
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility namePacific Northwest Oil Transportation Laboratory (TL) Number804051
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphaltic Emulsion Emulsion GradeSS-1h
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