Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2023-10-05-31
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994761 DEA: 010M0904 EFIS: 0122000092 |
|---|---|
| DIST-CO-RTE-PM | 01-MEN-101-R100.1/R106.2 |
| Award Date | 06/19/2023 |
| Closeout Date | Not set |
| Work Description | MICROSURFACING AND THERMOPLASTIC TRAFFIC STRIPING (EWNV). |
| Location Description | MENDOCINO COUNTY NEAR PIERCY FROM SOUTH FORK EEL RIVER BRIDGE 10-0300 TO 0.6 MILE SOUTH OF HUMBOLDT COUNTY LINE |
| QA Service Level | 1 (Verified on 05/22/2023) |
Sample Information
| Sample Taken Date | 10/05/2023 | Sample Unique Key | 31 |
|---|---|---|---|
| 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 | 10/10/2023 |
| Sample type | Department Acceptance | A brief description of the sample | 1 BOTTLE |
| The quantity of what the sample constitutes | 1 of 1 bottle | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | B. | Last name of sampler or witnessed by | Reeves |
| Title of sampler | ARE | Telephone number of sampler | |
| Laboratory sample identification | Ticket 71001702 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | VSS west sacramento | 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 | MSE |
|---|---|---|---|
| Lot Number | Not set | Sub Lot | Not set |
| Dilution Percentage Rate | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-10-05-31-1 AASHTO T59-22 (Verified)