Sample Record

Owner Lab

  • Blackburn Consulting

DIME Sample ID 2024-05-13-60

Project Information

Project IdentifiersProject ID: 994975
DEA: 034H0704
EFIS: 0318000158
DIST-CO-RTE-PM03-NEV-20-R12.2/20.0
Award Date10/26/2023
Closeout Date07/15/2025
Work DescriptionCOLD PLANE AND OVERLAY, INSTALL CURED-IN-PLACE PIPELINERS.
Location DescriptionNEVADA COUNTY IN AND NEAR GRASS VALLEY AND NEVADA CITY FROM ROUTE 20/49 SEPARATION TO 0.1 MILE EAST OF CELIO ROAD
QA Service Level1 (Verified on 08/28/2023)

Sample Information

Sample Taken Date05/13/2024 Sample Unique Key60
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 testing05/13/2024
Sample typeQuality Assurance A brief description of the sample3/4" Type A HMA
The quantity of what the sample constitutes750 tons From where was the sample collectedSupplier
First name of sampler or witnessed byMichael Last name of sampler or witnessed byChittenden
Title of samplerMaterials Tester Telephone number of sampler530-7905033
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameTeichert Hallwood 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 number1
Sublot number1 HMA Mix Number30940132416P
Binder content (%)Not set Virgin binder PGNot set
Design binder PGNot set Binder SupplierNot set
RAP content (%)Not set WMA AdditivesNot set
Antistrip typeNot set

Submitted Tests

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