Sample Record

Owner Lab

  • Mozamo Engineering, Incorporated

DIME Sample ID 2026-04-06-26

Project Information

Project IdentifiersProject ID: 1000365
DEA: 033H9014
EFIS: 0323000075
DIST-CO-RTE-PM03-SOL,YOL-50,80,113-Var
Award Date09/27/2024
Closeout DateNot set
Work DescriptionHMA, RHMA, SIGN STRUCTURE, CAMERA SYSTEMS, & FO CABLE SYSTEMS.
Location DescriptionSOLANO AND YOLO COUNTIES AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 09/17/2024)

Sample Information

Sample Taken Date04/06/2026 Sample Unique Key26
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 testing04/10/2026
Sample typeQuality Assurance A brief description of the samplePG 58-22
The quantity of what the sample constitutesDaily Production From where was the sample collectedDistributor
First name of sampler or witnessed byLuis Last name of sampler or witnessed byMagana
Title of samplerQA Tech Telephone number of sampler2092250104
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameDe Silva Gates - Marysville Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeAsphalt Binder Performance GradePG 58-22
ModifiedYes Lot number3
Sublot number1 Tank number1
Time of sample0900 HMA SupplierDe Silva Gates
Certified Asphalt SupplierValero Benicia Refinery - Benicia CA MultigradeYes
Multigrade TypePG 58-22 / PG 58-16 Asphalt Binder Mix NumberMD 6736

Submitted Tests

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