Sample Taken Date	03/07/2022	Sample Unique Key	9
Date that the sample was received by the laboratory/organization performing the testing	03/14/2022	Sample type	Department Acceptance
A brief description of the sample	BINDER	The quantity of what the sample constitutes	1 OF 1
From where was the sample collected	Source	First name of sampler or witnessed by	THOMAS
Last name of sampler or witnessed by	ILLIFFE	Title of sampler
Telephone number of sampler		Laboratory sample identification	GARCO 1635433720
Linked DIME Sample ID		The fabricator/manufacturer/facility name	GRANITE
Transportation Laboratory (TL) Number	035681	Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier		Structure name
Bid Item	Not set

Material Type	Asphalt Binder	Performance Grade	PG 58-22
Modified	No	Lot number
Sublot number		Tank number
Time of sample		HMA Supplier
Certified Asphalt Supplier	Valero Marketing & Supply - Benicia CA	Multigrade	No
Multigrade Type		Asphalt Binder Mix Number	Not set
HMA Type	Not set	HMA Supplier Mix ID Number	Not set

DIME Test ID: 2022-03-07-9-1 AASHTO T315-20 (Verified)
DIME Test ID: 2022-03-07-9-2 AASHTO T315-20 (Verified)
DIME Test ID: 2022-03-07-9-3 AASHTO T315-20 (Verified)
DIME Test ID: 2022-03-07-9-4 AASHTO T315-20 (Verified)