Sample Record

Owner Lab

  • Blackburn Consulting

DIME Sample ID 2026-05-11-14

Project Information

Project IdentifiersProject ID: 1001389
DEA: 030J5204
EFIS: 0319000293
DIST-CO-RTE-PM03-NEV,PLA-20-Var
Award Date11/17/2025
Closeout DateNot set
Work DescriptionCAPITAL PREVENTIVE MAINTENANCE (CAPM) - COLD PLANE AC PVMT, HMA (TYPE A), & DRAINAGE SYSTEMS.
Location DescriptionNEVADA AND PLACER COUNTIES AT VARIOUS LOCATIONS FROM 0.1 MILE EAST OF DOW ROAD TO 0.5 MILE EAST OF YUBA PASS SEPARATION AND OVERHEAD
QA Service Level1 (Verified on 07/21/2025)

Sample Information

Sample Taken Date05/11/2026 Sample Unique Key14
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 testing05/11/2026
Sample typeQuality Assurance A brief description of the sampleJMF Verification (Hot Drop)
The quantity of what the sample constitutes12 Boxes, 5 bags, 4 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 nameKnife River (Hallwood) Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid Item42 - HOT MIX ASPHALT (TYPE A)

Material Information

Material TypeHot Mix Asphalt HMA TypeType A HMA
HMA Grading3/4 inch Lot number
Sublot number HMA Mix NumberHR22771900
Binder content (%)4.5 Virgin binder PGPG 58-22
Design binder PGPG 58-22 Binder SupplierPacific Northwest Oil
RAP content (%)25 WMA Additives
Antistrip type

Submitted Tests

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