Sample Record

Owner Lab

  • Blackburn Consulting

DIME Sample ID 2024-06-06-91

Project Information

Project IdentifiersProject ID: 993905
DEA: 034H5814
EFIS: 0320000240
DIST-CO-RTE-PM03-SAC-5-27.6/29.5,30.4/34.3
Award Date02/28/2023
Closeout Date06/02/2025
Work DescriptionROADWAY EXCAVATION, PLACE CL2 AB, HMA & RHMA, & MODIFY RAMP METERS.
Location DescriptionSACRAMENTO COUNTY IN AND NEAR SACRAMENTO FROM 0.5 MILES SOUTH OF ARENA BOULEVARD OVERCROSSING TO 0.4 MILES SOUTH OF 99/5 INTERCHANGE AND FROM 0.5 MILES NORTH OF THE 99/5 INTERCHANGE TO 0.4 MILE SOUTH OF THE YOLO COUNTY LINE
QA Service Level1 (Verified on 06/27/2022)

Sample Information

Sample Taken Date06/06/2024 Sample Unique Key91
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 testing06/20/2024
Sample typeQuality Assurance A brief description of the sample3/4" RHMA-G, PG 64-16
The quantity of what the sample constitutes1 Can From where was the sample collectedSource
First name of sampler or witnessed byDustin Last name of sampler or witnessed byKliethermes
Title of sampler Telephone number of sampler
Laboratory sample identification3758 Linked DIME Sample ID2024-06-06-96
The fabricator/manufacturer/facility nameDeSilva Gates Marysville 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
ModifiedNo Lot number1
Sublot number6 Tank number
Time of sample HMA Supplier
Certified Asphalt SupplierValero Marketing & Supply - Benicia CA MultigradeNo
Multigrade Type Asphalt Binder Mix Number

Submitted Tests

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