Sample Record

Owner Lab

  • Blackburn Consulting

DIME Sample ID 2026-09-09-5

Project Information

Project IdentifiersProject ID: 1002496
DEA: 031N4204
EFIS: 0325000024
DIST-CO-RTE-PM03-SIE-89-6.2/6.4
Award DateNot set
Closeout DateNot set
Work DescriptionD03 SIERRA RTE 89 (PM 6.2/6.4) NEAR SIERRAVILLE - COLD PLANE ASPHALT, DITCH EXCAVATION, PAINT TRAFFIC STRIPE. CONTRACT 03-1N4204, RE CHRISTOPHER REBOLLO.
Location DescriptionNot set
QA Service Level1 (Verified on 08/11/2026)

Sample Information

Sample Taken Date09/09/2026 Sample Unique Key5
Date that the sample was received by the laboratory/organization performing the testing09/09/2026 Sample typeQuality Assurance
A brief description of the samplePG 64-28 The quantity of what the sample constitutes1 Can of oil
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 nameTeichert Martis Valley
Transportation Laboratory (TL) NumberL1 SL1 Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeAsphalt Binder Performance GradePG 64-28
Modified Lot number1
Sublot number1 Tank number
Time of sample10:10 HMA SupplierTeichert Martis Valley
Certified Asphalt SupplierPacific Northwest Oil - Stockton CA MultigradeNo
Multigrade Type Asphalt Binder Mix Number30540732407P
HMA Type3/4 HMA-A SP R15 HMA Supplier Mix ID Number30540732407P

Submitted Tests

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