Sample Record

Owner Lab

  • Blackburn Consulting

DIME Sample ID 2022-10-15-5

Project Information

Project IdentifiersProject ID: 215682
DEA: 031H1904
EFIS: 0316000065
DIST-CO-RTE-PM03-SAC-80,244-M9.6/12.9,0.0/T0.8
Award Date06/18/2021
Closeout DateNot set
Work DescriptionCOLD PLANE AC PAVEMENT, PLACE RHMA AND INDIVIDUAL SLAB REPLACEMENT.
Location DescriptionSACRAMENTO COUNTY IN AND NEAR SACRAMENTO ON ROUTE 80 FROM 0.2 MILE EAST OF LONGVIEW DRIVE OVERCROSSING TO 0.4 MILE EAST OF MADISON AVENUE OVERCROSSING AND ON ROUTE 244 FROM 0.3 MILE NORTH OF AUBURN BOULEVARD TO CONNECTOR TO ROUTE 80
QA Service Level1 (Verified on 05/17/2021)

Sample Information

Sample Taken Date10/15/2022 Sample Unique Key5
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 testing10/15/2022
Sample typeQuality Control A brief description of the sample1/2" RHMA-O
The quantity of what the sample constitutes2 HMA Boxes From where was the sample collectedJob Site
First name of sampler or witnessed byJacob Last name of sampler or witnessed byGregory
Title of sampler 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 number2
Sublot number10 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