Sample Record
Owner Lab
- Blackburn Consulting
DIME Sample ID 2023-06-14-13
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994310 DEA: 034F6504 EFIS: 0314000233 |
|---|---|
| DIST-CO-RTE-PM | 03-YOL-50,80-0.0/2.5,4.1/R11.4 |
| Award Date | 04/07/2023 |
| Closeout Date | Not set |
| Work Description | CRCP, HMA (TYPE A), RDWY EXC, CLASS 2 AB, FIBER OPTIC CABLE SYSTEMS. |
| Location Description | YOLO COUNTY IN AND NEAR WEST SACRAMENTO ON ROUTE 80 FROM 1.7 MILES EAST OF MACE BOULEVARD OVERCROSSING TO SACRAMENTO RIVER BRIDGE AND OVERHEAD (BRYTE BEND) AND ON ROUTE 50 FROM ROUTE 80 JUNCTION TO JEFFERSON BOULEVARD UNDERCROSSING |
| QA Service Level | 1 (Verified on 10/04/2022) |
Sample Information
| Sample Taken Date | 06/14/2023 | Sample Unique Key | 13 |
|---|---|---|---|
| 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 | 06/14/2023 |
| Sample type | Quality Control | A brief description of the sample | 58-22 |
| The quantity of what the sample constitutes | 4 Oil Can | From where was the sample collected | Job Site |
| 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 | Asphalt Binder | Performance Grade | PG 58-22 |
|---|---|---|---|
| Modified | Lot number | ||
| Sublot number | Tank number | ||
| Time of sample | HMA Supplier | ||
| Certified Asphalt Supplier | Pacific Northwest Oil - Stockton CA | Multigrade | No |
| Multigrade Type | Asphalt Binder Mix Number |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||