Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2022-08-12-36

Project Information

Project IdentifiersProject ID: 993576
DEA: 09389604
EFIS: 0921000043
DIST-CO-RTE-PM09-MNO,INY-6,168-0.8/4.9,30.0/33.5
Award Date04/25/2022
Closeout Date11/01/2022
Work DescriptionCOLD PLANE AC PAVEMENT AND PLACE HMA (TYPE A).
Location DescriptionMONO AND INYO COUNTIES ON ROUTE 6 NEAR CHALFANT FROM 2.5 MILES WEST OF CHALFANT LOOP ROAD TO 0.2 MILE EAST OF BROWN SUBDIVISION ROAD AND ON ROUTE 168 ABOUT 12 MILES EAST OF BIG PINE FROM 1.3 MILES WEST TO 1.7 MILES EAST OF WHITE MOUNTAIN ROAD
QA Service Level1 (Verified on 02/21/2022)

Sample Information

Sample Taken Date08/12/2022 Sample Unique Key36
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 testing08/29/2022
Sample typeDepartment Acceptance A brief description of the samplePG 64-28M
The quantity of what the sample constitutes1 Can From where was the sample collectedSource
First name of sampler or witnessed byGranite Last name of sampler or witnessed by_
Title of samplerOiler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameGranite Bishop Transportation Laboratory (TL) Number999894
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphalt Binder Performance GradePG 64-28 M
ModifiedYes Lot number
Sublot number Tank number
Time of sampleAM HMA Supplier
Certified Asphalt SupplierSan Joaquin Refinery - Bakersfield CA MultigradeNo
Multigrade Type Asphalt Binder Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments