Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2021-06-23-14

Project Information

Project IdentifiersProject ID: 215607
DEA: 061C6504
EFIS: 0621000099
DIST-CO-RTE-PM06-FRE-41-R0.5/M5.9
Award Date05/04/2021
Closeout Date05/04/2022
Work DescriptionRESURFACE AC PAVEMENT AND INSTALL MEDIAN TYPE K CONCRETE BARRIER.
Location DescriptionFRESNO COUNTY ABOUT 6 MILES NORTH OF LEMOORE FROM 0.5 MILE NORTH OF EXCELSIOR AVENUE UNDERCROSSING TO 0.2 MILE SOUTH OF ELKHORN AVENUE
QA Service Level1 (Verified on 03/29/2021)

Sample Information

Sample Taken Date06/23/2021 Sample Unique Key14
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 testing06/30/2021
Sample typeDepartment Acceptance A brief description of the samplePG64-16
The quantity of what the sample constitutes1 can From where was the sample collectedManufacturer
First name of sampler or witnessed byNick Last name of sampler or witnessed byN/A
Title of samplerGranite Tech Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameGranite - Coalinga Transportation Laboratory (TL) Numberc040389
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphalt Binder Performance GradePG 64-16
ModifiedNo Lot number
Sublot number Tank number
Time of sample HMA SupplierGranite - Coalinga
Certified Asphalt SupplierSan Joaquin Refinery - Bakersfield CA MultigradeNo
Multigrade Type Asphalt Binder Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments