Sample Record

Owner Lab

  • Blackburn Consulting

DIME Sample ID 2022-06-20-7

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 Date06/20/2022 Sample Unique Key7
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 testing06/20/2022
Sample typeQuality Assurance A brief description of the sampleSS-1H 1jug emulsion
The quantity of what the sample constitutes750 Tons From where was the sample collectedDistributor
First name of sampler or witnessed byMichael Last name of sampler or witnessed byChittenden
Title of samplerMaterials Tester Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility namePacific Northwest Oil Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameWB Business 80

Material Information

Material TypeAsphalt Binder Performance GradePG 64-16
Modified Lot number
Sublot number Tank number
Time of sample HMA Supplier
Certified Asphalt SupplierPacific Northwest Oil - Stockton CA MultigradeNo
Multigrade Type Asphalt Binder Mix NumberNot set

Submitted Tests

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

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Test File Attachments