Sample Record

Owner Lab

  • Blackburn Consulting

DIME Sample ID 2022-06-22-28

Project Information

Project IdentifiersProject ID: 213411
DEA: 030H10U4
EFIS: 0317000246
DIST-CO-RTE-PM03-SAC-5-9.7/24.9
Award Date05/01/2019
Closeout Date02/22/2024
Work DescriptionNot set
Location DescriptionConstruction on state highway in Sacramento County in and near Sacramento from 1.1 miles south of Elk Grove Boulevard to American River Viaduct
QA Service Level1 (Verified on 07/19/2019)

Sample Information

Sample Taken Date06/22/2022 Sample Unique Key28
Date that the sample was received by the laboratory/organization performing the testing06/22/2022 Sample typePer Request
A brief description of the sampleTack Coat The quantity of what the sample constitutes1 jug tack coat
From where was the sample collectedJob Site First name of sampler or witnessed bySergio
Last name of sampler or witnessed byTostado Title of samplerMATERIAL INSPECTOR
Telephone number of sampler8315884727 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility namePacific Northwest Oil
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeAsphalt Binder Performance GradePG 64-16
Modified Lot number2
Sublot number13 Tank number
Time of sample HMA SupplierGranite Construction Company - Bradshaw
Certified Asphalt SupplierGranite Construction - Bakersfield CA MultigradeNo
Multigrade Type Asphalt Binder Mix NumberNot set
HMA TypeNot set HMA Supplier Mix ID NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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