Sample Record

Owner Lab

  • Blackburn Consulting

DIME Sample ID 2025-11-07-63

Project Information

Project IdentifiersProject ID: 1001284
DEA: 033J40U4
EFIS: 0325000035
DIST-CO-RTE-PM03-ED-VAR-VAR
Award Date03/12/2025
Closeout DateNot set
Work DescriptionCombine MMBN 03-3J400, 10-1Q090 Middle-Mile Broadband Network
Location DescriptionNot set
QA Service Level1 (Verified on 06/11/2025)

Sample Information

Sample Taken Date11/07/2025 Sample Unique Key63
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 testingNot set
Sample typeQuality Assurance A brief description of the sample3/4" HMA-SP, PG 64-16
The quantity of what the sample constitutes2 Boxes From where was the sample collectedSource
First name of sampler or witnessed byMike Last name of sampler or witnessed byChittenden
Title of sampler Telephone number of sampler
Laboratory sample identification6030 Linked DIME Sample ID
The fabricator/manufacturer/facility nameTeichert Grantline 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 number
Sublot number HMA Mix Number
Binder content (%)0.0 Virgin binder PG
Design binder PG Binder Supplier
RAP content (%)Not set WMA Additives
Antistrip type

Submitted Tests

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