Sample Record

DIME Sample ID 2025-05-19-70

Project Information

Project IdentifiersProject ID: 995119
EFIS: 0319000004
DIST-CO-RTE-PM03-PLA-49-R8.7/R10.6
Award Date12/08/2023
Closeout DateNot set
Work DescriptionCONC BARRIER, JPCP, HMA, RDWY EXC, RCP AND LIGHTING.
Location DescriptionPLACER COUNTY NEAR AUBURN FROM 0.3 MILE SOUTH OF LORENSEN ROAD/FLORENCE LANE TO 0.4 MILE NORTH OF LONE STAR ROAD
QA Service Level1 (Verified on 11/13/2023)

Owner Lab

  • Blackburn Consulting

Sample Information

Sample Taken Date05/19/2025 Sample Unique Key70
Date that the sample was received by the laboratory/organization performing the testing05/20/2025 Sample typeQuality Assurance
A brief description of the samplePG 58-22 The quantity of what the sample constitutes1 Can
From where was the sample collectedSupplier First name of sampler or witnessed bySergio
Last name of sampler or witnessed byTostado Title of sampler
Telephone number of sampler Laboratory sample identification5097
Linked DIME Sample ID The fabricator/manufacturer/facility nameDeSilva Gates - Marysville
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeAsphalt Binder Performance GradePG 58-22
ModifiedNo Lot number1
Sublot number1 Tank number2B
Time of sample HMA SupplierDeSilva Gates Marysville
Certified Asphalt SupplierValero Marketing & Supply - Benicia CA MultigradeNo
Multigrade Type Asphalt Binder Mix Number
HMA TypeNot set HMA Supplier Mix ID NumberNot set

Submitted Tests

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