Sample Record

DIME Sample ID 2025-01-07-34

Project Information

Project IdentifiersProject ID: 214469
DEA: 030H08U4
EFIS: 0319000029
DIST-CO-RTE-PM03-SAC-50-L0.2/R6.1
Award Date06/30/2020
Closeout DateNot set
Work DescriptionSac 50 Design Build PLEASE NOTE THAT DESIGN BUILDER MUST PERFORM QUALITY VALIDATION TESTING IN ACCORDANCE WITH THE MATERIAL CONTROL SCHEDULE (MCS) FOR ITEMS SUCH AS STRANDS, HS BOLTS, ELASTOMERIC BEARING PADS, JOINT SEALANTS, COUPLERS & WELDED HOOPS, ETC
Location DescriptionFROM 0.1 MILE EAST OF I-5 TO 0.8 MILE EAST OF WATT AVE
QA Service Level1 (Verified on 10/23/2019)

Owner Lab

  • Blackburn Consulting

Sample Information

Sample Taken Date01/07/2025 Sample Unique Key34
Date that the sample was received by the laboratory/organization performing the testing01/13/2025 Sample typeQuality Assurance
A brief description of the sample1/2" HMA w/ 15% RAP, PG 64-16 The quantity of what the sample constitutes10 Boxes
From where was the sample collectedSource First name of sampler or witnessed byMark
Last name of sampler or witnessed byMahoney Title of sampler
Telephone number of sampler Laboratory sample identification4812
Linked DIME Sample ID The fabricator/manufacturer/facility nameTeichert Perkins
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 Grading1/2 inch Lot number10
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

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