Sample Record

Owner Lab

  • Blackburn Consulting

DIME Sample ID 2022-06-15-29

Project Information

Project IdentifiersProject ID: 993480
DEA: 032G3904
EFIS: 0321000120
DIST-CO-RTE-PM03-SAC-51-4.7/5.2,5.9/8.8
Award Date03/01/2022
Closeout Date05/15/2023
Work DescriptionCOLD PLANE AC PAVEMENT, PLACE HMA AND REPLACE CONCRETE SLABS.
Location DescriptionSACRAMENTO COUNTY IN AND NEAR SACRAMENTO FROM EL CAMINO AVENUE OVERCROSSING TO 0.4 MILE SOUTH OF MARCONI AVENUE OVERCROSSING AND FROM 0.4 MILE NORTH OF MARCONI AVENUE OVERCROSSING TO ROUTE 80, 51/244 SEPARATION
QA Service Level1 (Verified on 12/28/2021)

Sample Information

Sample Taken Date06/15/2022 Sample Unique Key29
Will the laboratory/organization for which you are a member perform testing on this material sample?Yes Date that the sample was received by the laboratory/organization performing the testing06/15/2022
Sample typeQuality Assurance A brief description of the sample1/2" RHMA-O
The quantity of what the sample constitutes750 Tons From where was the sample collectedSource
First name of sampler or witnessed byMichael Last name of sampler or witnessed byChittenden
Title of samplerMaterial Tester Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameTeichert Perkins 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 TypeOGFC
HMA Grading1/2 inch Lot number1
Sublot number5 HMA Mix NumberNot set

Submitted Tests

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