Sample Record
Owner Labs
- Blackburn Consulting
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2022-09-13-3
Project Information
Project Identifiers | Project ID: 214572 DEA: 034E62U4 EFIS: 0319000068 |
---|---|
DIST-CO-RTE-PM | 03-ED-50-18.5/24.2 |
Award Date | 05/04/2020 |
Closeout Date | Not set |
Work Description | CONSTRUCT UC, MED BARRIER, DRAINAGE SYSTEMS & HMA OVERLAY. |
Location Description | EL DORADO COUNTY IN AND NEAR PLACERVILLE FROM MOSQUITO ROAD UNDERCROSSING TO SCHNELL SCHOOL ROAD UNDERCROSSING AND FROM 0.2 MILE WEST OF STILL MEADOW ROAD TO 0.2 MILE EAST OF CARSON ROAD |
QA Service Level | 1 (Verified on 03/18/2020) |
Sample Information
Sample Taken Date | 09/13/2022 | Sample Unique Key | 3 |
---|---|---|---|
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 testing | 09/13/2022 |
Sample type | Department Acceptance | A brief description of the sample | OIL |
The quantity of what the sample constitutes | 1 Can | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Robert | Last name of sampler or witnessed by | Sears |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Pacific Northwest Oil - Stockton, CA | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Asphalt Binder | Performance Grade | PG 64-16 |
---|---|---|---|
Modified | Lot number | 1 | |
Sublot number | 1 | Tank number | |
Time of sample | HMA Supplier | ||
Certified Asphalt Supplier | Pacific Northwest Oil - Stockton CA | Multigrade | Yes |
Multigrade Type | PG 64-16 / PG 64-10 | Asphalt Binder Mix Number | Not set |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
---|---|---|---|
No results found. |
Test File Attachments
DIME Test ID: 2022-09-13-3-1 AASHTO T315-22 (Verified)