Sample Record
Owner Lab
- Blackburn Consulting
DIME Sample ID 2023-06-20-21
Project Information
Project Identifiers | Project ID: 214469 DEA: 030H08U4 EFIS: 0319000029 |
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DIST-CO-RTE-PM | 03-SAC-50-L0.2/R6.1 |
Award Date | 06/30/2020 |
Closeout Date | Not set |
Work Description | Sac 50 Design Build PLEASE NOTE THAT DESIGN BUILDER MUST PERFORM QUALITY VALIDATION TESTING IN ACCORDANCE WITH THE MATERIAL CONTROL SCHEDULE (MCS) FOR ITEMS SUCH AS STRANDS, HS BOLTS, ELASTOMERIC BEARING PADS, JOINT SEALANTS, COUPLERS & WELDED HOOPS, ETC |
Location Description | FROM 0.1 MILE EAST OF I-5 TO 0.8 MILE EAST OF WATT AVE |
QA Service Level | 1 (Verified on 10/23/2019) |
Sample Information
Sample Taken Date | 06/20/2023 | Sample Unique Key | 21 |
---|---|---|---|
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 | 06/20/2023 |
Sample type | Quality Assurance | A brief description of the sample | 3/4" HMA-SP PG64-16 |
The quantity of what the sample constitutes | 2 Boxes | 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 | Teichert Perkins | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Hot Mix Asphalt | HMA Type | Type A HMA |
---|---|---|---|
HMA Grading | 3/4 inch | Lot number | 4 |
Sublot number | 5 | HMA Mix Number |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2023-06-20-21-1 AASHTO T209-22 (Verified)
DIME Test ID: 2023-06-20-21-2 AASHTO T308-10 (Verified)