Sample Record

Owner Lab

  • Blackburn Consulting

DIME Sample ID 2026-06-07-4

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 Date06/07/2026 Sample Unique Key4
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 testing06/08/2026
Sample typeQuality Assurance A brief description of the sampleAsphalt Binder Sample
The quantity of what the sample constitutessix cylinders From where was the sample collectedSupplier
First name of sampler or witnessed byEric Last name of sampler or witnessed byQuintana
Title of samplerFIELD INSPECTOR Telephone number of sampler5304911271
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameTeichert - Martis Valley Plant Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeAsphalt Binder Performance GradePG 64-28
Modified Lot number1
Sublot number1 Tank number
Time of sample HMA SupplierTeichert
Certified Asphalt SupplierAASHTO resource MultigradeYes
Multigrade Type Asphalt Binder Mix Number
HMA TypeNot set HMA Supplier Mix ID NumberNot set

Submitted Tests

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