Sample Record

Owner Lab

  • Blackburn Consulting

DIME Sample ID 2022-10-25-21

Project Information

Project IdentifiersProject ID: 214899
DEA: 033H4504
EFIS: 0318000001
DIST-CO-RTE-PM03-ED-50-33.8/34.2
Award Date07/29/2020
Closeout DateNot set
Work DescriptionCONSTRUCT RW, WIDEN RDWY, COLD PLANE AC PVMT, & HMA OVERLAY.
Location DescriptionEL DORADO COUNTY AT FRESH POND FROM 0.6 TO 0.2 MILE WEST OF FOREST ROAD/OUTER LIMITS LANE
QA Service Level1 (Verified on 04/15/2020)

Sample Information

Sample Taken Date10/25/2022 Sample Unique Key21
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 testing10/25/2022
Sample typeQuality Control A brief description of the sample3/4" HMA-SP
The quantity of what the sample constitutes2 Oil Cans From where was the sample collectedJob Site
First name of sampler or witnessed bySergio Last name of sampler or witnessed byTostado
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameTeichert Grantline Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphalt Binder Performance GradePG 64-28
Modified Lot number
Sublot number Tank number
Time of sample HMA Supplier
Certified Asphalt SupplierPacific Northwest Oil - Stockton CA MultigradeNo
Multigrade Type Asphalt Binder Mix Number

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