Sample Record

Owner Lab

  • Blackburn Consulting

DIME Sample ID 2024-04-08-32

Project Information

Project IdentifiersProject ID: 994310
DEA: 034F6504
EFIS: 0314000233
DIST-CO-RTE-PM03-YOL-50,80-0.0/2.5,4.1/R11.4
Award Date04/07/2023
Closeout DateNot set
Work DescriptionCRCP, HMA (TYPE A), RDWY EXC, CLASS 2 AB, FIBER OPTIC CABLE SYSTEMS.
Location DescriptionYOLO 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 Level1 (Verified on 10/04/2022)

Sample Information

Sample Taken Date04/08/2024 Sample Unique Key32
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 Assurance A brief description of the sample1/2" SP PG64-16 w/ RAP
The quantity of what the sample constitutes2 HMA Boxes 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 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 TypeType A HMA
HMA Grading1/2 inch Lot number2
Sublot number1 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