Sample Record
Owner Lab
- Blackburn Consulting
DIME Sample ID 2025-10-23-42
Project Information
| Project Identifiers | Project ID: 1001120 DEA: 033G6204 EFIS: 0325000037 |
|---|---|
| DIST-CO-RTE-PM | 03-YOL-5-R22.8/R28.9 |
| Award Date | 06/03/2025 |
| Closeout Date | Not set |
| Work Description | COLD PLANE AC PVMT AND HMA (TYPE A). |
| Location Description | YOLO COUNTY NEAR DUNNIGAN FROM 0.2 MILE NORTH OF ROUTE 505/5 SEPARATION TO THE COLUSA COUNTY LINE |
| QA Service Level | 1 (Verified on 04/02/2025) |
Sample Information
| Sample Taken Date | 10/23/2025 | Sample Unique Key | 42 |
|---|---|---|---|
| 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 | Not set |
| Sample type | Quality Assurance | A brief description of the sample | 3/4" HMA-SP w/ RAP, PG 64-16 |
| The quantity of what the sample constitutes | 2 Boxes | From where was the sample collected | Manufacturer |
| 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 | 5956 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Teichert Woodland | 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 | 1 |
| Sublot number | 20 | HMA Mix Number | 40432407 |
| Binder content (%) | 0.0 | Virgin binder PG | |
| Design binder PG | Binder Supplier | ||
| RAP content (%) | Not set | WMA Additives | |
| Antistrip type |
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. | |||
