Sample Record
Owner Lab
- Blackburn Consulting
DIME Sample ID 2025-05-19-70
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 | 70 |
|---|---|---|---|
| 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 | PG 58-22 |
| The quantity of what the sample constitutes | 1 Can | 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 | Asphalt Binder | Performance Grade | PG 58-22 |
|---|---|---|---|
| Modified | No | Lot number | 1 |
| Sublot number | 1 | Tank number | 2B |
| Time of sample | HMA Supplier | DeSilva Gates Marysville | |
| Certified Asphalt Supplier | Valero Marketing & Supply - Benicia CA | Multigrade | No |
| Multigrade Type | Asphalt Binder Mix Number |
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. | |||