Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2021-06-30-19

Project Information

Project IdentifiersProject ID: 215607
DEA: 061C6504
EFIS: 0621000099
DIST-CO-RTE-PM06-FRE-41-R0.5/M5.9
Award DateNot set
Closeout DateNot set
Work DescriptionRESURFACE AC PAVEMENT AND INSTALL MEDIAN TYPE K CONCRETE BARRIER.
Location DescriptionFRESNO COUNTY ABOUT 6 MILES NORTH OF LEMOORE FROM 0.5 MILE NORTH OF EXCELSIOR AVENUE UNDERCROSSING TO 0.2 MILE SOUTH OF ELKHORN AVENUE
QA Service Level1 (Verified on 03/29/2021)

Sample Information

Sample Taken Date06/30/2021 Sample Unique Key19
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 testing07/07/2021
Sample typeAcceptance A brief description of the samplePG64-16
The quantity of what the sample constitutes1 can From where was the sample collectedManufacturer
First name of sampler or witnessed byNick Last name of sampler or witnessed byN/A
Title of samplerGranite Tech Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameGranite - Coalinga Transportation Laboratory (TL) Numberc040395
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphalt Binder Performance GradePG 64-16
ModifiedNo Lot number1
Sublot number13 Tank number
Time of sample HMA SupplierGranite - Coalinga
Asphalt Binder SupplierSan Joaquin Refinery - Bakersfield CA MultigradeNo
Multigrade Type HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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