Sample Record

Owner Lab

  • Blackburn Consulting

DIME Sample ID 2022-07-16-3

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 Date07/16/2022 Sample Unique Key3
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeQuality Assurance
A brief description of the sampleAsphalt Rubber Binder & PG 64-16 (Valero) The quantity of what the sample constitutes2 Cans
From where was the sample collectedSupplier First name of sampler or witnessed byEmilio
Last name of sampler or witnessed byChavez Title of samplerSenior Materials Tester
Telephone number of sampler9167651237 Laboratory sample identification
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 TypeAsphalt Rubber Binder Asphalt modifier supplierValero
Performance GradePG 64-16 Lot number2
Sublot number18 Asphalt Rubber Binder Mix NumberNot set

Submitted Tests

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