Sample Record

DIME Sample ID 2025-07-18-53

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 Date07/18/2025 Sample Unique Key53
Date that the sample was received by the laboratory/organization performing the testing07/31/2025 Sample typeQuality Assurance
A brief description of the sample1/2" OGFC, PG 64-16 The quantity of what the sample constitutes2 Boxes
From where was the sample collectedManufacturer First name of sampler or witnessed bySergio
Last name of sampler or witnessed byTostado Title of sampler
Telephone number of sampler Laboratory sample identification
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 TypeOGFC
HMA Grading1/2 inch Lot number1
Sublot number2 HMA Mix Number
Binder content (%)0.0 Virgin binder PG PG 64-16
Design binder PG PG 64-16 Binder SupplierValero
RAP content (%)Not set WMA Additives
Antistrip type

Submitted Tests

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