Sample Record
Owner Lab
- Blackburn Consulting
DIME Sample ID 2025-06-02-12
Project Information
| Project Identifiers | Project ID: 1000435 DEA: 030J01U4 EFIS: 0323000244 |
|---|---|
| DIST-CO-RTE-PM | 03-PLA-28-0.1/11.0 |
| Award Date | 10/02/2024 |
| Closeout Date | Not set |
| Work Description | HMA (TYPE A), COLD PLANE AC PVMT, RDWY EXC, & CL 2 AB. |
| Location Description | PLACER COUNTY FROM 0.1 MILE EAST OF ROUTE 89 AT TAHOE CITY TO THE NEVADA STATE LINE AT KINGS BEACH |
| QA Service Level | 1 (Verified on 07/30/2024) |
Sample Information
| Sample Taken Date | 06/02/2025 | Sample Unique Key | 12 |
|---|---|---|---|
| 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 | 06/03/2025 |
| Sample type | Quality Assurance | A brief description of the sample | 3/4" HMA-SP w/ 15% RAP, PG 64-28 |
| The quantity of what the sample constitutes | 12 Boxes | From where was the sample collected | Source |
| 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 | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Teichert Martis | 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 | |
| Sublot number | HMA Mix Number | 30540732407P | |
| 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. | |||
