Sample Record

Owner Lab

  • Blackburn Consulting

DIME Sample ID 2026-08-25-31

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)

Sample Information

Sample Taken Date08/25/2026 Sample Unique Key31
Will the laboratory/organization for which you are a member perform testing on this material sample?Yes Date that the sample was received by the laboratory/organization performing the testing08/26/2026
Sample typeQuality Assurance A brief description of the sample3/4" 58-22 HMA SP RAP 25%
The quantity of what the sample constitutes2 boxes From where was the sample collectedManufacturer
First name of sampler or witnessed bySergio Last name of sampler or witnessed byTostado
Title of samplerMaterials Tester Telephone number of sampler8315884727
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameTeichert Hallwood Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeHot Mix Asphalt HMA TypeType A HMA
HMA Grading3/4 inch Lot number2
Sublot number6 HMA Mix Number30940132416
Binder content (%)4.5 Virgin binder PG
Design binder PGPG 58-22 Binder SupplierPNW
RAP content (%)25 WMA Additives
Antistrip type

Submitted Tests

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