Sample Record
Owner Lab
- Blackburn Consulting
DIME Sample ID 2021-09-17-50
Project Information
Project Identifiers | Project ID: 213411 DEA: 030H10U4 EFIS: 0317000246 |
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DIST-CO-RTE-PM | 03-SAC-5-9.7/24.9 |
Award Date | 05/01/2019 |
Closeout Date | 02/22/2024 |
Work Description | Not set |
Location Description | Construction 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 Level | 1 (Verified on 07/19/2019) |
Sample Information
Sample Taken Date | 09/17/2021 | Sample Unique Key | 50 |
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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 | 08/09/2022 |
Sample type | Quality Control | A brief description of the sample | 3/4" HMA-LL-SUR |
The quantity of what the sample constitutes | 2 Boxes | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Jim | Last name of sampler or witnessed by | Carroll |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Teichert Perkins | 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 | 8 |
Sublot number | 1 | 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 |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |