Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994399 DEA: 09378704 EFIS: 0919000001
QA Service Level: 1
DIST-CO-RTE-PM: 09-MNO-395-55.5/58.2
Work Description: PARTIAL DEPTH RECYCLE AND HMA (TYPE A).
Location Description: MONO COUNTY NEAR LEE VINING FROM 0.2 MILE SOUTH OF CEMETERY ROAD TO ROUTE 167
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: Unknown
Resident Engineer: David Carruba Structure Rep.: Unknown
DIME Sample ID: 2023-08-01-75
TL Number from the TL Form: 997490
Sample Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Department Acceptance
Type of Material: Asphalt Binder
Sample Taken Date: 08/01/2023
Date that the sample was received by the laboratory/organization performing the testing: 08/18/2023
The quantity of what the sample constitutes: 1 of 1
A brief description of the sample: PG 58-34M
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite
Performance Grade: PG 58-34 M
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: 2023-08-01-75-1
Test Method: AASHTO T315-22: Standard Method of Test for Determining the Rheological Properties of Asphalt Binder Using a Dynamic Shear Rheometer (DSR) (Dynamic Shear)
Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Organization Address: 5900 Folsom Boulevard, Room 225,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (916) 227-7302
Data has not been verified.
