Sample Record

Owner Lab

  • Blackburn Consulting

DIME Sample ID 2025-10-06-45

Project Information

Project IdentifiersProject ID: 1000435
DEA: 030J01U4
EFIS: 0323000244
DIST-CO-RTE-PM03-PLA-28-0.1/11.0
Award Date10/02/2024
Closeout DateNot set
Work DescriptionHMA (TYPE A), COLD PLANE AC PVMT, RDWY EXC, & CL 2 AB.
Location DescriptionPLACER COUNTY FROM 0.1 MILE EAST OF ROUTE 89 AT TAHOE CITY TO THE NEVADA STATE LINE AT KINGS BEACH
QA Service Level1 (Verified on 07/30/2024)

Sample Information

Sample Taken Date10/06/2025 Sample Unique Key45
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 sample3/4" HMA-SP w/ RAP, PG 64-28
The quantity of what the sample constitutes2 Boxes From where was the sample collectedSupplier
First name of sampler or witnessed byEmilio Last name of sampler or witnessed byChavez
Title of sampler Telephone number of sampler
Laboratory sample identification5828 Linked DIME Sample ID
The fabricator/manufacturer/facility nameTeichert Martis Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeHot Mix Asphalt HMA TypeType A HMA
HMA Grading3/4 inch Lot number1
Sublot number6 HMA Mix Number30540732407P
Binder content (%)0.0 Virgin binder PG
Design binder PG Binder Supplier
RAP content (%)Not set WMA Additives
Antistrip type

Submitted Tests

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