Sample Record
Owner Lab
- Blackburn Consulting
DIME Sample ID 2024-07-21-10
Project Information
Project Identifiers | Project ID: 994975 DEA: 034H0704 EFIS: 0318000158 |
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DIST-CO-RTE-PM | 03-NEV-20-R12.2/20.0 |
Award Date | 10/30/2023 |
Closeout Date | Not set |
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 | 07/21/2024 | Sample Unique Key | 10 |
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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 | 07/22/2024 |
Sample type | Quality Assurance | A brief description of the sample | 3/4" RHMA-G-SP, PG 64-16 |
The quantity of what the sample constitutes | 2 Boxes | From where was the sample collected | Source |
First name of sampler or witnessed by | Mike | Last name of sampler or witnessed by | Chittenden |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | 3954 | Linked DIME Sample ID | |
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 |
Material Information
Material Type | Hot Mix Asphalt | HMA Type | RHMA-G |
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HMA Grading | 3/4 inch | Lot number | 2 |
Sublot number | 7 | HMA Mix Number |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |