Sample Record
Owner Lab
- Blackburn Consulting
DIME Sample ID 2024-06-16-15
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994975 DEA: 034H0704 EFIS: 0318000158 |
|---|---|
| DIST-CO-RTE-PM | 03-NEV-20-R12.2/20.0 |
| Award Date | 10/26/2023 |
| Closeout Date | 07/15/2025 |
| Work Description | COLD PLANE AND OVERLAY, INSTALL CURED-IN-PLACE PIPELINERS. |
| Location Description | NEVADA COUNTY IN AND NEAR GRASS VALLEY AND NEVADA CITY FROM ROUTE 20/49 SEPARATION TO 0.1 MILE EAST OF CELIO ROAD |
| QA Service Level | 1 (Verified on 08/28/2023) |
Sample Information
| Sample Taken Date | 06/16/2024 | 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 | 06/16/2024 |
| Sample type | Quality Assurance | A brief description of the sample | 3/4" RHMA-G PG 64-16 |
| The quantity of what the sample constitutes | 1 Can | From where was the sample collected | Source |
| First name of sampler or witnessed by | Dustin | Last name of sampler or witnessed by | Kliethermes |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 3802 | Linked DIME Sample ID | 2024-06-16-22 |
| The fabricator/manufacturer/facility name | Teichert Hallwood | 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 | Lot number | 1 | |
| Sublot number | 1 | Tank number | |
| Time of sample | HMA Supplier | Teichert Hallwood | |
| Certified Asphalt Supplier | Pacific Northwest Oil - Stockton CA | Multigrade | No |
| Multigrade Type | Asphalt Binder Mix Number |
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. | |||