Sample Record

Owner Lab

  • Blackburn Consulting

DIME Sample ID 2023-09-27-64

Project Information

Project IdentifiersProject ID: 993121
DEA: 032H62U4
EFIS: 0319000021
DIST-CO-RTE-PM03-NEV-20-25.6/39.8
Award Date02/08/2022
Closeout DateNot set
Work DescriptionROADWAY EXCAVATION, HMA (TYPE A) WITH CLASS 2 AB, RCB CULVERT AND RCP.
Location DescriptionNEVADA COUNTY NEAR OMEGA AT VARIOUS LOCATIONS FROM 0.2 MILE WEST OF CONSERVATION ROAD (WASHINGTON RIDGE ROAD) TO 1.2 MILES WEST OF ZEIBRIGHT ROAD
QA Service Level1 (Verified on 07/26/2021)

Sample Information

Sample Taken Date09/27/2023 Sample Unique Key64
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 testingNot set
Sample typeQuality Control A brief description of the sample3/4" HMA w/ 25% RAP
The quantity of what the sample constitutes2 HMA Boxes From where was the sample collectedManufacturer
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 nameGranite Bradshaw 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 number
Sublot number HMA 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