Sample Record
Owner Lab
- Blackburn Consulting
DIME Sample ID 2025-05-19-69
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 995119 DEA: 034H6004 EFIS: 0319000004 |
|---|---|
| DIST-CO-RTE-PM | 03-PLA-49-R8.7/R10.6 |
| Award Date | 12/08/2023 |
| Closeout Date | Not set |
| Work Description | CONC BARRIER, JPCP, HMA, RDWY EXC, RCP AND LIGHTING. |
| Location Description | PLACER COUNTY NEAR AUBURN FROM 0.3 MILE SOUTH OF LORENSEN ROAD/FLORENCE LANE TO 0.4 MILE NORTH OF LONE STAR ROAD |
| QA Service Level | 1 (Verified on 11/13/2023) |
Sample Information
| Sample Taken Date | 05/19/2025 | Sample Unique Key | 69 |
|---|---|---|---|
| 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 | 05/20/2025 |
| Sample type | Quality Assurance | A brief description of the sample | 3/4" HMA-SP w/ 25% RAP, PG 58-22 |
| The quantity of what the sample constitutes | 10 boxes | From where was the sample collected | Supplier |
| First name of sampler or witnessed by | Sergio | Last name of sampler or witnessed by | Tostado |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 5097 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | DeSilva Gates - Marysville | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Hot Mix Asphalt | HMA Type | Type A HMA |
|---|---|---|---|
| HMA Grading | 3/4 inch | Lot number | 1 |
| Sublot number | 1 | HMA Mix Number | MD 6736 |
| Binder content (%) | Not set | Virgin binder PG | Not set |
| Design binder PG | Not set | Binder Supplier | Not set |
| RAP content (%) | Not set | WMA Additives | Not set |
| Antistrip type | Not set |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||