Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 66667 DEA: JMFPP EFIS: 0019000043
QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for submitting Sample information for JMF Prequalification Program.
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown
DIME Sample ID: 2018-03-01-8
TL Number from the TL Form:
Sample Submitted By Organization: Granite Construction Company - Coastal
Sample Organization Contact: (408) 327-7023
Type of Sample: Informational
Type of Material: Asphalt Binder
Sample Taken Date: 03/01/2018
Date that the sample was received by the laboratory/organization performing the testing: 03/01/2018
The quantity of what the sample constitutes: 4 Cans
A brief description of the sample: Asphalt Binder Sample
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:
Lot number:
Sublot number:
Tank number:
Time of sample:
HMA Supplier:
Certified Asphalt Supplier: San Joaquin Refinery - Bakersfield CA
Multigrade: No
Multigrade Type:
Asphalt Binder Mix Number:
DIME Test ID: 2018-03-01-8-1
Test Method: AASHTO T228-09r13: Standard Method of Test for Specific Gravity of Semi-Solid Asphalt Materials (Specific Gravity)
Submitted By Organization: Granite Construction Company - Coastal
Organization Address: 715 Comstock Street,
Organization City: Santa Clara
Organization State: CA
Organization Zipcode: 95054
Organization Email: ryan.gibbs@gcinc.com
Organization Phone: (408) 327-7023
Data has not been verified.
