Sample Record

Owner Lab

  • Blackburn Consulting

DIME Sample ID 2024-07-17-63

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 DateNot set
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 Date07/17/2024 Sample Unique Key63
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 testing07/23/2024
Sample typeQuality Assurance A brief description of the sample3/4" HMA w/ 25% RAP, PG 58-22
The quantity of what the sample constitutes2 Boxes From where was the sample collectedSource
First name of sampler or witnessed bySergio Last name of sampler or witnessed byTostado
Title of sampler Telephone number of sampler
Laboratory sample identification3971 Linked DIME Sample ID
The fabricator/manufacturer/facility nameDeSilva Gates Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeHot Mix Asphalt HMA TypeType A HMA
HMA Grading3/4 inch Lot number3
Sublot number14 HMA Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Test File Attachments