Sample Record

Owner Lab

  • Blackburn Consulting

DIME Sample ID 2026-05-06-11

Project Information

Project IdentifiersProject ID: 1001117
DEA: 033G4304
EFIS: 0324000127
DIST-CO-RTE-PM03-ED-89-0.0/8.5
Award Date06/06/2025
Closeout DateNot set
Work DescriptionCOLD PLANE AC PVMT AND HMA (TYPE A) OVERLAY.
Location DescriptionEL DORADO COUNTY NEAR MEYERS FROM ALPINE COUNTY LINE TO POMO STREET
QA Service Level1 (Verified on 04/02/2025)

Sample Information

Sample Taken Date05/06/2026 Sample Unique Key11
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 testing04/27/2026
Sample typeQuality Assurance A brief description of the sampleJMF Verification (Hot Drop)
The quantity of what the sample constitutes12 Boxes, 5 bags, 2 cans From where was the sample collectedSupplier
First name of sampler or witnessed byEMILIO Last name of sampler or witnessed byCHAVEZ
Title of samplerMaterials Tester Telephone number of sampler(530) 217-5934
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameTahoe Asphalt 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 Grading1/2 inch Lot number
Sublot number HMA Mix Number2001
Binder content (%)5.1 Virgin binder PG PG 64-28
Design binder PG Binder SupplierVSS Emultech
RAP content (%)15 WMA Additives
Antistrip typeARKEMA Ad-here XL9000

Submitted Tests

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