Sample Record

Owner Lab

  • CT D09 - Bishop Field Laboratory

DIME Sample ID 2024-07-01-2

Project Information

Project IdentifiersProject ID: 994330
DEA: 09366404
EFIS: 0916000006
DIST-CO-RTE-PM09-MNO-395-58.2/60.4
Award Date04/03/2023
Closeout Date07/23/2025
Work DescriptionHOT MIX ASPHALT (TYPE A), IMPORTED BORROW, AND ROADWAY EXCAVATION.
Location DescriptionMONO COUNTY ABOUT 6 MILES NORTH OF LEE VINING FROM ROUTE 167 TO 0.4 MILE NORTH OF CONWAY RANCH ROAD
QA Service Level1 (Verified on 07/31/2023)

Sample Information

Sample Taken Date07/01/2024 Sample Unique Key2
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 testing07/01/2024
Sample typeAcceptance A brief description of the samplePG 58-34 M
The quantity of what the sample constitutes2 cans of oil From where was the sample collectedSource
First name of sampler or witnessed byJeff Last name of sampler or witnessed byPuente
Title of samplerQA Telephone number of sampler
Laboratory sample identificationOil-01 Linked DIME Sample ID
The fabricator/manufacturer/facility nameGranite Lee Vining 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 58-34 M
ModifiedYes Lot number
Sublot number Tank number
Time of sample HMA SupplierGranite Lee Vining
Certified Asphalt SupplierWestern Emulsions Incorporated - Mojave CA MultigradeNo
Multigrade Type Asphalt Binder Mix Number

Submitted Tests

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