Sample Record

Owner Lab

  • Blackburn Consulting

DIME Sample ID 2025-07-31-13

Project Information

Project IdentifiersProject ID: 994310
DEA: 034F6504
EFIS: 0314000233
DIST-CO-RTE-PM03-YOL-50,80-0.0/2.5,4.1/R11.4
Award Date04/07/2023
Closeout DateNot set
Work DescriptionCRCP, HMA (TYPE A), RDWY EXC, CLASS 2 AB, FIBER OPTIC CABLE SYSTEMS.
Location DescriptionYOLO COUNTY IN AND NEAR WEST SACRAMENTO ON ROUTE 80 FROM 1.7 MILES EAST OF MACE BOULEVARD OVERCROSSING TO SACRAMENTO RIVER BRIDGE AND OVERHEAD (BRYTE BEND) AND ON ROUTE 50 FROM ROUTE 80 JUNCTION TO JEFFERSON BOULEVARD UNDERCROSSING
QA Service Level1 (Verified on 10/04/2022)

Sample Information

Sample Taken Date07/31/2025 Sample Unique Key13
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 testing08/01/2025
Sample typeQuality Assurance A brief description of the sample3/4" HMA-SP w/ 13% RAP, PG 64-16
The quantity of what the sample constitutes2 Boxes From where was the sample collectedSupplier
First name of sampler or witnessed byDustan Last name of sampler or witnessed byKliethermes
Title of sampler Telephone number of sampler
Laboratory sample identification5476 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 TypeType A HMA
HMA Grading3/4 inch Lot number2
Sublot number1 HMA Mix Number30140432407P
Binder content (%)4.8 Virgin binder PG PG 64-16
Design binder PG PG 64-16 Binder SupplierPNW
RAP content (%)13 WMA AdditivesNo
Antistrip type

Submitted Tests

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