Sample Record
Owner Lab
- Blackburn Consulting
DIME Sample ID 2022-08-16-2
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214572 DEA: 034E62U4 EFIS: 0319000068 |
|---|---|
| DIST-CO-RTE-PM | 03-ED-50-18.5/24.2 |
| Award Date | 05/04/2020 |
| Closeout Date | Not set |
| Work Description | CONSTRUCT UC, MED BARRIER, DRAINAGE SYSTEMS & HMA OVERLAY. |
| Location Description | EL DORADO COUNTY IN AND NEAR PLACERVILLE FROM MOSQUITO ROAD UNDERCROSSING TO SCHNELL SCHOOL ROAD UNDERCROSSING AND FROM 0.2 MILE WEST OF STILL MEADOW ROAD TO 0.2 MILE EAST OF CARSON ROAD |
| QA Service Level | 1 (Verified on 03/18/2020) |
Sample Information
| Sample Taken Date | 08/16/2022 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | 08/16/2022 |
| Sample type | Quality Control | A brief description of the sample | 3/4" HMA-SP |
| The quantity of what the sample constitutes | 1 Oil Can | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Dustan | Last name of sampler or witnessed by | Kliethermes |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Teichert | 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 | Type A HMA |
|---|---|---|---|
| HMA Grading | 3/4 inch | Lot number | |
| Sublot number | HMA Mix Number | Not set |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||