Sample Record

Owner Lab

  • Blackburn Consulting

DIME Sample ID 2026-07-09-29

Project Information

Project IdentifiersProject ID: 1001641
DEA: 030J4004
EFIS: 0319000280
DIST-CO-RTE-PM03-ED-50-18.7/22.9
Award DateNot set
Closeout DateNot set
Work DescriptionCOLD PLANE AC PVMT, HMA, RCP, CONC BARRIER, & STRUCTURAL CONC.
Location DescriptionEL DORADO COUNTY IN AND NEAR PLACERVILLE FROM 0.1 MILE WEST OF CARSON ROAD OVERCROSSING TO 5 MILE ROAD AND FROM 1.0 MILE EAST OF CAMINO HEIGHTS ROAD TO 0.3 MILE EAST OF RIDGEWAY DRIVE UNDERCROSSING
QA Service Level1 (Verified on 11/12/2025)

Sample Information

Sample Taken Date07/09/2026 Sample Unique Key29
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 testing07/09/2026
Sample typeQuality Assurance A brief description of the samplePG 64-16
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 nameGranite Bradshaw 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 64-16
Modified Lot number
Sublot number Tank number
Time of sample HMA Supplier
Certified Asphalt SupplierPacific Northwest Oil - Stockton CA MultigradeNo
Multigrade Type Asphalt Binder Mix Number15419
HMA TypeNot set HMA Supplier Mix ID NumberNot set

Submitted Tests

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