Sample Record
Owner Lab
- Blackburn Consulting
DIME Sample ID 2026-09-09-21
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1002496 DEA: 031N4204 EFIS: 0325000024 |
|---|---|
| DIST-CO-RTE-PM | 03-SIE-89-6.2/6.4 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | D03 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 Description | Not set |
| QA Service Level | 1 (Verified on 08/11/2026) |
Sample Information
| Sample Taken Date | 09/09/2026 | Sample Unique Key | 21 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 09/09/2026 | Sample type | Quality Assurance |
| A brief description of the sample | tack oil | The quantity of what the sample constitutes | 1 Jug tack oil |
| From where was the sample collected | Job Site | 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 | PNW | |
| 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 | Bituminous Adhesive | Batch Number | |
|---|---|---|---|
| Batch Size | Type |
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. | |||