Sample Record
Owner Lab
- CT D05 - Monterey Construction Field Laboratory
DIME Sample ID 2023-06-26-43
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993234 DEA: 051H0004 EFIS: 0516000011 |
|---|---|
| DIST-CO-RTE-PM | 05-MON-68-1.1/L4.3 |
| Award Date | 10/26/2021 |
| Closeout Date | 12/14/2023 |
| Work Description | PLACE HMA AND MODIFY SIGNAL AND LIGHTING SYSTEMS. |
| Location Description | MONTEREY COUNTY IN AND NEAR PACIFIC GROVE AND MONTEREY FROM FOREST AVENUE TO ROUTE 68/1 SEPARATION |
| QA Service Level | 1 (Verified on 10/06/2021) |
Sample Information
| Sample Taken Date | 06/26/2023 | Sample Unique Key | 43 |
|---|---|---|---|
| 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 testing | 06/26/2023 |
| Sample type | Quality Assurance | A brief description of the sample | SS-1H 1jug tack coat emulsion |
| The quantity of what the sample constitutes | 1 Jug | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Frank | Last name of sampler or witnessed by | Ortega |
| Title of sampler | TET | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | 2023-06-26-40 | |
| The fabricator/manufacturer/facility name | Pacific Northwest Oil - Stockton, CA | Transportation Laboratory (TL) Number | |
| 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 | 1 | Sub Lot | 1 |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||