Sample Record
Owner Lab
- Blackburn Consulting
DIME Sample ID 2026-06-22-9
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1001564 DEA: 030J4104 EFIS: 0319000281 |
|---|---|
| DIST-CO-RTE-PM | 03-PLA-80-33.0/44.9 |
| Award Date | 07/01/2025 |
| Closeout Date | Not set |
| Work Description | COLD PLANE AC PVMT, HMA, CLASS 2 AB, RDWY EXC, MGS, & RCP. |
| Location Description | PLACER COUNTY IN AND NEAR COLFAX FROM 0.1 MILE WEST OF ROUTE 174/80 SEPARATION TO 0.1 MILE EAST OF ALTA ROAD UNDERCROSSING |
| QA Service Level | 1 (Verified on 09/17/2025) |
Sample Information
| Sample Taken Date | 06/22/2026 | Sample Unique Key | 9 |
|---|---|---|---|
| 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 | 06/22/2026 |
| Sample type | Quality Assurance | A brief description of the sample | Tack Coat |
| The quantity of what the sample constitutes | 1 gallon jug | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Dustan | Last name of sampler or witnessed by | Kliethermes |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Pacific Northwest Oil | 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 | Bituminous Adhesive | Batch Number | |
|---|---|---|---|
| Batch Size | 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. | |||