Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 213596 DEA: 051C8904 EFIS: 0513000009
QA Service Level: 1
DIST-CO-RTE-PM: 05-MON-101-87.3/R91.5
Work Description: PRECAST CONC PVMT, CRACK AND SEAT PAVEMENT AND RECONSTRUCT RAMPS.
Location Description: MONTEREY COUNTY IN SALINAS FROM EAST MARKET STREET UNDERCROSSING TO 0.3 MILE SOUTH OF ESPINOSA ROAD
Contractor Name: Granite Rock Company
Contractor Address: 411 Walker Street, Watsonville, CA 95076
Resident Engineer: Tyler Lavering Structure Rep.: Juan Moreno
DIME Sample ID: 2021-06-23-12
TL Number from the TL Form: c749077
Sample Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Acceptance
Type of Material: Asphalt Binder
Sample Taken Date: 06/23/2021
Date that the sample was received by the laboratory/organization performing the testing: 06/29/2021
The quantity of what the sample constitutes: 1 of 1 can
A brief description of the sample: PG64-10
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: San Joaquin Refinery
Performance Grade: PG 64-10
Modified: No
Lot number: 1
Sublot number: 36
Tank number:
Time of sample:
HMA Supplier: Graniterock Aromas
Certified Asphalt Supplier: San Joaquin Refinery - Bakersfield CA
Multigrade: No
Multigrade Type:
Asphalt Binder Mix Number:
