Sample Record

Owner Lab

  • Blackburn Consulting

DIME Sample ID 2026-05-21-6

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 Date05/21/2026 Sample Unique Key6
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 typeVerification A brief description of the sample3/4” HMA PG w/25% Rap
The quantity of what the sample constitutesJMF Verification From where was the sample collectedSource
First name of sampler or witnessed byMichael Last name of sampler or witnessed byCHITTENDEN
Title of samplerMaterials Tester Telephone number of sampler5307905033
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameKnife River Construction - Hallwood 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 number
Sublot number HMA Mix Number
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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