Sample Record
Owner Lab
- Blackburn Consulting
DIME Sample ID 2022-06-28-15
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993480 DEA: 032G3904 EFIS: 0321000120 |
|---|---|
| DIST-CO-RTE-PM | 03-SAC-51-4.7/5.2,5.9/8.8 |
| Award Date | 03/01/2022 |
| Closeout Date | 05/15/2023 |
| Work Description | COLD PLANE AC PAVEMENT, PLACE HMA AND REPLACE CONCRETE SLABS. |
| Location Description | SACRAMENTO COUNTY IN AND NEAR SACRAMENTO FROM EL CAMINO AVENUE OVERCROSSING TO 0.4 MILE SOUTH OF MARCONI AVENUE OVERCROSSING AND FROM 0.4 MILE NORTH OF MARCONI AVENUE OVERCROSSING TO ROUTE 80, 51/244 SEPARATION |
| QA Service Level | 1 (Verified on 12/28/2021) |
Sample Information
| Sample Taken Date | 06/28/2022 | Sample Unique Key | 15 |
|---|---|---|---|
| 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 | 06/28/2022 |
| Sample type | Quality Assurance | A brief description of the sample | SS-1H 1jug emulsion |
| The quantity of what the sample constitutes | 750 Tons | From where was the sample collected | Distributor |
| First name of sampler or witnessed by | Michael | Last name of sampler or witnessed by | Chittenden |
| Title of sampler | Telephone number of sampler | 15307905033 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Pacific Northwest Oil | 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 | Asphalt Binder | Performance Grade | PG 64-16 |
|---|---|---|---|
| Modified | No | Lot number | |
| Sublot number | Tank number | ||
| Time of sample | HMA Supplier | ||
| Certified Asphalt Supplier | Pacific Northwest Oil - Stockton CA | Multigrade | Yes |
| Multigrade Type | Asphalt Binder Mix Number | Not set |
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. | |||