Sample Record

DIME Sample ID 2026-06-30-12

Project Information

Project IdentifiersProject ID: 1001564
DEA: 030J4104
EFIS: 0319000281
DIST-CO-RTE-PM03-PLA-80-33.0/44.9
Award Date07/01/2025
Closeout DateNot set
Work DescriptionCOLD PLANE AC PVMT, HMA, CLASS 2 AB, RDWY EXC, MGS, & RCP.
Location DescriptionPLACER 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 Level1 (Verified on 09/17/2025)

Owner Lab

  • Blackburn Consulting

Sample Information

Sample Taken Date06/30/2026 Sample Unique Key12
Date that the sample was received by the laboratory/organization performing the testing06/30/2026 Sample typeQuality Assurance
A brief description of the samplePG 58-22 The quantity of what the sample constitutes1 Can
From where was the sample collectedManufacturer First name of sampler or witnessed byDustan
Last name of sampler or witnessed byKliethermes Title of sampler
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility namePNW
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 58-22
ModifiedNo Lot number1
Sublot number15 Tank number
Time of sample18:40 HMA SupplierTeichert Hallwood
Certified Asphalt SupplierPacific Northwest Oil - Stockton CA MultigradeNo
Multigrade Type Asphalt Binder Mix Number30940132416P
HMA TypeNot set HMA Supplier Mix ID NumberNot set

Submitted Tests

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