Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2024-04-10-52
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993141 DEA: 060V1204 EFIS: 0616000207 |
|---|---|
| DIST-CO-RTE-PM | 06-MAD-99-R6.9/R7.6 |
| Award Date | 06/22/2022 |
| Closeout Date | Not set |
| Work Description | Cottonwood Creek Bridge Replacement - REPLACE BRIDGES AND CONSTRUCT RETAINING WALLS. |
| Location Description | MADERA COUNTY NEAR MADERA FROM 0.4 MILE SOUTH OF COTTONWOOD CREEK BRIDGE TO 0.1 MILE NORTH OF AVENUE 12 OVERCROSSING |
| QA Service Level | 1 (Verified on 07/28/2021) |
Sample Information
| Sample Taken Date | 04/10/2024 | Sample Unique Key | 52 |
|---|---|---|---|
| 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 | 04/15/2024 |
| Sample type | Acceptance | A brief description of the sample | ss-1h |
| The quantity of what the sample constitutes | 1 jug of emulsion | From where was the sample collected | Source |
| First name of sampler or witnessed by | Ryan | Last name of sampler or witnessed by | w |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Talley Oil - Madera | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | 0000105 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | Asphaltic Emulsion | Emulsion Grade | SS-1h |
|---|---|---|---|
| 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: 2024-04-10-52-1 AASHTO T59-22 (Verified)