Sample Record

Owner Lab

  • CT D05 - Monterey Construction Field Laboratory

DIME Sample ID 2024-08-14-31

Project Information

Project IdentifiersProject ID: 1000061
DEA: 051Q4804
EFIS: 0523000036
DIST-CO-RTE-PM05-SCR-1-R5.0/8.9
Award Date04/10/2024
Closeout Date04/02/2025
Work DescriptionRHMA OVERLAY, STRIPING AND MODIFY TRAFFIC STATIONS.
Location DescriptionSANTA CRUZ COUNTY FROM 0.9 MILE NORTH OF BUENA VISTA DRIVE UNDERCROSSING TO 0.2 MILE SOUTH OF RIO DEL MAR OVERCROSSING
QA Service Level1 (Verified on 02/05/2024)

Sample Information

Sample Taken Date08/14/2024 Sample Unique Key31
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 testing08/15/2024
Sample typeAcceptance A brief description of the sample1 1qt can of PG64-10
The quantity of what the sample constitutes8/14/24 From where was the sample collectedDistributor
First name of sampler or witnessed byJ Last name of sampler or witnessed byFernandez
Title of samplerQC Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameSan Joaquin Refinery, Bakersfield, CA 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 64-10
ModifiedNo Lot number1
Sublot number4 Tank number
Time of sample HMA SupplierGraniterock Aromas Drum Plant
Certified Asphalt SupplierSan Joaquin Refinery - Bakersfield CA MultigradeNo
Multigrade Type Asphalt Binder Mix Number939

Submitted Tests

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