Sample Record
Owner Lab
- Blackburn Consulting
DIME Sample ID 2026-07-09-29
Project Information
| Project Identifiers | Project ID: 1001641 DEA: 030J4004 EFIS: 0319000280 |
|---|---|
| DIST-CO-RTE-PM | 03-ED-50-18.7/22.9 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | COLD PLANE AC PVMT, HMA, RCP, CONC BARRIER, & STRUCTURAL CONC. |
| Location Description | EL 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 Level | 1 (Verified on 11/12/2025) |
Sample Information
| Sample Taken Date | 07/09/2026 | Sample Unique Key | 29 |
|---|---|---|---|
| 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 | 07/09/2026 |
| Sample type | Quality Assurance | A brief description of the sample | PG 64-16 |
| The quantity of what the sample constitutes | 1 Can | From where was the sample collected | Manufacturer |
| 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 | Granite Bradshaw Plant | 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 | Asphalt Binder | Performance Grade | PG 64-16 |
|---|---|---|---|
| Modified | Lot number | ||
| Sublot number | Tank number | ||
| Time of sample | HMA Supplier | ||
| Certified Asphalt Supplier | Pacific Northwest Oil - Stockton CA | Multigrade | No |
| Multigrade Type | Asphalt Binder Mix Number | 15419 | |
| HMA Type | Not set | HMA Supplier Mix ID Number | Not set |
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. | |||
