Sample Record

Owner Lab

  • CT D05 - Monterey Construction Field Laboratory

DIME Sample ID 2023-06-27-48

Project Information

Project IdentifiersProject ID: 993234
DEA: 051H0004
EFIS: 0516000011
DIST-CO-RTE-PM05-MON-68-1.1/L4.3
Award Date10/26/2021
Closeout Date12/14/2023
Work DescriptionPLACE HMA AND MODIFY SIGNAL AND LIGHTING SYSTEMS.
Location DescriptionMONTEREY COUNTY IN AND NEAR PACIFIC GROVE AND MONTEREY FROM FOREST AVENUE TO ROUTE 68/1 SEPARATION
QA Service Level1 (Verified on 10/06/2021)

Sample Information

Sample Taken Date06/27/2023 Sample Unique Key48
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 testing06/27/2023
Sample typeAcceptance A brief description of the sample1 can of PG64-10
The quantity of what the sample constitutesUp to 750 Tons From where was the sample collectedSource
First name of sampler or witnessed byJerrod Last name of sampler or witnessed byNaval
Title of samplerQC Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID2023-06-27-47
The fabricator/manufacturer/facility nameGraniterock Aromas Drum Plant Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphalt Binder Performance GradePG 64-10
ModifiedNo Lot number1
Sublot number2 Tank number
Time of sample HMA SupplierGraniterock Aromas Batch Plant
Certified Asphalt SupplierSan Joaquin Refinery - Bakersfield CA MultigradeNo
Multigrade Type Asphalt Binder Mix Number399

Submitted Tests

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