Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2023-04-04-34
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Project Information
| Project Identifiers | Project ID: 994401 DEA: 09379304 EFIS: 0919000007 |
|---|---|
| DIST-CO-RTE-PM | 09-INY-127-21.0/34.5,41.8/49.4 |
| Award Date | 01/23/2023 |
| Closeout Date | 12/27/2023 |
| Work Description | PARTIAL DEPTH RECYCLE AND HOT MIX ASPHALT (TYPE A). |
| Location Description | INYO COUNTY NEAR SHOSHONE FROM 4.6 MILES NORTH OF ROUTE 178 WEST TO 7.6 MILES SOUTH OF ROUTE 190 AND FROM 0.3 MILE SOUTH OF ROUTE 190 TO NEVADA STATE LINE |
| QA Service Level | 1 (Verified on 08/02/2023) |
Sample Information
| Sample Taken Date | 04/04/2023 | Sample Unique Key | 34 |
|---|---|---|---|
| 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 | 04/13/2023 |
| Sample type | Quality Assurance | A brief description of the sample | emulsion PDR |
| The quantity of what the sample constitutes | 1 jug | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Jasael | Last name of sampler or witnessed by | Avalos |
| Title of sampler | QC | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Ergon Asphalt and Emulsion | Transportation Laboratory (TL) Number | 995428 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Asphaltic Emulsion | Emulsion Grade | PASS-R |
|---|---|---|---|
| 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: 2023-04-04-34-1 AASHTO T59-16 (Verified)