Sample Record
Owner Lab
- Blackburn Consulting
DIME Sample ID 2025-09-12-43
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1000004 DEA: 033H5604 EFIS: 0318000014 |
|---|---|
| DIST-CO-RTE-PM | 03-PLA,NEV-20,80-VAR |
| Award Date | 05/10/2024 |
| Closeout Date | Not set |
| Work Description | STRUCTURAL CONC, BAR REINFORCING STEEL, BRIDGE REMOVAL, HMA, AND JPCP. |
| Location Description | PLACER AND NEVADA COUNTIES NEAR CISCO GROVE ON ROUTE 80 FROM 0.4 MILE WEST OF LAKE VALLEY OVERCROSSING TO 0.9 MILE EAST OF YUBA PASS SEPARATION AND OVERHEAD AND ON ROUTE 20 AT YUBA PASS SEPARATION AND OVERHEAD |
| QA Service Level | 1 (Verified on 01/18/2024) |
Sample Information
| Sample Taken Date | 09/12/2025 | Sample Unique Key | 43 |
|---|---|---|---|
| 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 | Not set |
| Sample type | Quality Assurance | A brief description of the sample | 3/4" HMA-SP w/ RAP, PG 64-16 |
| The quantity of what the sample constitutes | 2 Boxes | From where was the sample collected | Supplier |
| First name of sampler or witnessed by | Eddie | Last name of sampler or witnessed by | Paniagua |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 5712 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Teichert Hallwood | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Hot Mix Asphalt | HMA Type | Type A HMA |
|---|---|---|---|
| HMA Grading | 3/4 inch | Lot number | 1 |
| Sublot number | 1 | HMA Mix Number | 30940432407V |
| Binder content (%) | 0.0 | Virgin binder PG | |
| Design binder PG | Binder Supplier | ||
| RAP content (%) | Not set | WMA Additives | |
| Antistrip type |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||