Sample Record
Owner Lab
- Blackburn Consulting
DIME Sample ID 2024-10-22-67
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 995119 DEA: 034H6004 EFIS: 0319000004 |
|---|---|
| DIST-CO-RTE-PM | 03-PLA-49-R8.7/R10.6 |
| Award Date | 12/08/2023 |
| Closeout Date | Not set |
| Work Description | CONC BARRIER, JPCP, HMA, RDWY EXC, RCP AND LIGHTING. |
| Location Description | PLACER COUNTY NEAR AUBURN FROM 0.3 MILE SOUTH OF LORENSEN ROAD/FLORENCE LANE TO 0.4 MILE NORTH OF LONE STAR ROAD |
| QA Service Level | 1 (Verified on 11/13/2023) |
Sample Information
| Sample Taken Date | 10/22/2024 | Sample Unique Key | 67 |
|---|---|---|---|
| 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 | 10/18/2024 |
| Sample type | Quality Assurance | A brief description of the sample | 3/4" HMA w/ 25% RAP |
| The quantity of what the sample constitutes | 2 Boxes | From where was the sample collected | Source |
| First name of sampler or witnessed by | Mark | Last name of sampler or witnessed by | Mahoney |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 4526 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | DeSilva Gates | 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 | 1 |
| Sublot number | 4 | HMA Mix Number |
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. | |||