Sample Record

Owner Lab

  • Blackburn Consulting

DIME Sample ID 2022-10-05-49

Project Information

Project IdentifiersProject ID: 993193
DEA: 031H18U4
EFIS: 0321000106
DIST-CO-RTE-PM03-NEV-80-13.0/16.5
Award Date11/04/2021
Closeout Date12/14/2023
Work DescriptionROADWAY EXCAVATION, JPCP AND FURNISH POLYESTER CONCRETE OVERLAY.
Location DescriptionNEVADA COUNTY IN AND NEAR TRUCKEE FROM 0.2 MILE WEST OF DONNER PARK OVERCROSSING TO ROUTE 89/267 SEPARATION
QA Service Level1 (Verified on 08/23/2021)

Sample Information

Sample Taken Date10/05/2022 Sample Unique Key49
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 testing10/13/2022
Sample typeQuality Control A brief description of the sample3/4" HMA 15% RAP
The quantity of what the sample constitutes2 Boxes From where was the sample collectedJob Site
First name of sampler or witnessed byRobert Last name of sampler or witnessed bySears
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameMartis Valley 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 TypeType A HMA
HMA Grading3/4 inch Lot number1
Sublot number13 HMA 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