Sample Record

Owner Lab

  • Blackburn Consulting

DIME Sample ID 2023-12-15-28

Project Information

Project IdentifiersProject ID: 994553
DEA: 032G7204
EFIS: 0322000151
DIST-CO-RTE-PM03-YOL-113-R10.1/R10.8
Award Date05/19/2023
Closeout Date05/23/2025
Work DescriptionJOINTED PLAIN CONC PVMT, INDIVIDUAL SLAB REPL, & REMOVE CONC PVMT.
Location DescriptionYOLO COUNTY IN WOODLAND FROM 0.1 MILE SOUTH OF EAST WOODLAND OVERHEAD TO 0.1 MILE SOUTH OF S5/S113 CONNECTOR UNDERCROSSING
QA Service Level1 (Verified on 05/15/2023)

Sample Information

Sample Taken Date12/15/2023 Sample Unique Key28
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 testing12/15/2023
Sample typeQuality Assurance A brief description of the sample3/4" HMA-SP
The quantity of what the sample constitutes2 HMA Boxes From where was the sample collectedJob Site
First name of sampler or witnessed byMark Last name of sampler or witnessed byMahoney
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameTeichert Woodland Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeHot Mix Asphalt HMA TypeType A HMA
HMA Grading3/4 inch Lot number3
Sublot number1 HMA Mix Number
Binder content (%)Not set Virgin binder PGNot set
Design binder PGNot set Binder SupplierNot set
RAP content (%)Not set WMA AdditivesNot set
Antistrip typeNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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