Sample Record
Owner Lab
- Blackburn Consulting
DIME Sample ID 2026-09-10-4
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 | 09/10/2026 | Sample Unique Key | 4 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 09/10/2026 | Sample type | Quality Assurance |
| A brief description of the sample | PG 64-28 | The quantity of what the sample constitutes | 1 Can of oil |
| 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 | Teichert Martis Valley | |
| Transportation Laboratory (TL) Number | L1 SL2 | 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 64-28 |
|---|---|---|---|
| Modified | Lot number | 1 | |
| Sublot number | 2 | Tank number | |
| Time of sample | 12:45 | HMA Supplier | Teichert Martis Valley |
| Certified Asphalt Supplier | Pacific Northwest Oil - Stockton CA | Multigrade | No |
| Multigrade Type | Asphalt Binder Mix Number | 30540732407P | |
| HMA Type | 3/4 HMA-A SP R15 | HMA Supplier Mix ID Number | 30540732407P |
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. | |||
