Sample Record

Owner Lab

  • CT D01 - District 1 Materials Laboratory

DIME Sample ID 2024-08-02-54

Project Information

Project IdentifiersProject ID: 1000002
DEA: 010M6404
EFIS: 0123000051
DIST-CO-RTE-PM01-LAK-29-R45.1/52.5
Award Date03/14/2024
Closeout Date03/20/2025
Work DescriptionRHMA-G, COLD PLANE AC PAVEMENT, AND PAVEMENT DELINEATION.
Location DescriptionLAKE COUNTY NEAR LAKEPORT FROM PARK WAY OVERCROSSING TO ROUTE 20
QA Service Level1 (Verified on 01/10/2024)

Sample Information

Sample Taken Date08/02/2024 Sample Unique Key54
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 testing08/12/2024
Sample typeAcceptance A brief description of the sample1 can PG 58-22 binder
The quantity of what the sample constitutes1 can binder From where was the sample collectedSource
First name of sampler or witnessed byThomas Last name of sampler or witnessed byIliffe
Title of samplerPlant QC Telephone number of sampler
Laboratory sample identification24-155 Linked DIME Sample ID
The fabricator/manufacturer/facility nameGranite HWY 175 Transportation Laboratory (TL) Number802722
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
ModifiedNo Lot number
Sublot number Tank number
Time of sample HMA Supplier
Certified Asphalt SupplierValero Marketing & Supply - Benicia CA MultigradeNo
Multigrade Type Asphalt Binder Mix Number

Submitted Tests

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