Sample Record

Owner Lab

  • Blackburn Consulting

DIME Sample ID 2022-07-20-24

Project Information

Project IdentifiersProject ID: 213411
DEA: 030H10U4
EFIS: 0317000246
DIST-CO-RTE-PM03-SAC-5-9.7/24.9
Award Date05/01/2019
Closeout DateNot set
Work DescriptionNot set
Location DescriptionConstruction on state highway in Sacramento County in and near Sacramento from 1.1 miles south of Elk Grove Boulevard to American River Viaduct
QA Service Level1 (Verified on 07/19/2019)

Sample Information

Sample Taken Date07/20/2022 Sample Unique Key24
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 testing07/20/2022
Sample typeQuality Control A brief description of the sample1/2" RHMA-0
The quantity of what the sample constitutes2 boxes From where was the sample collectedJob Site
First name of sampler or witnessed bySergio Last name of sampler or witnessed byTostado
Title of samplerMaterial Inspector 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 TypeRHMA-G
HMA Grading1/2 inch Lot number3
Sublot number5 HMA Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments