Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2026-04-16-34

Project Information

Project IdentifiersProject ID: 1000014
DEA: 010H1504
EFIS: 0117000116
DIST-CO-RTE-PM01-MEN-162-R0.0/25.7
Award Date03/26/2024
Closeout DateNot set
Work DescriptionHMA, RHMA, AND GEOSYNTHETIC PAVEMENT INTERLAYER.
Location DescriptionMENDOCINO COUNTY NEAR LONGVALE FROM ROUTE 101 TO 1.1 MILES SOUTH OF POONKINNEY ROAD NEAR COVELO
QA Service Level1 (Verified on 01/10/2024)

Sample Information

Sample Taken Date04/16/2026 Sample Unique Key34
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 testing04/22/2026
Sample typeAcceptance A brief description of the sampleJMF Verification #15367
The quantity of what the sample constitutes1 can From where was the sample collectedSupplier
First name of sampler or witnessed byK Last name of sampler or witnessed byM
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameGranite Ukiah Transportation Laboratory (TL) Number900183
Inspector Lot Number from the Transportation Laboratory (TL) Form900183 Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeAsphalt Binder Performance GradePG 58-22
Modified Lot number
Sublot number Tank numberJMF Verification #15367
Time of sample HMA SupplierGranite Ukiah
Certified Asphalt SupplierValero Benicia Refinery - Benicia CA MultigradeNo
Multigrade Type Asphalt Binder Mix Number

Submitted Tests

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