Sample Record

Owner Lab

  • CT D01 - District 1 Materials Laboratory

DIME Sample ID 2024-08-08-52

Project Information

Project IdentifiersProject ID: 1000014
DEA: 010H1504
EFIS: 0117000116
DIST-CO-RTE-PM01-MEN-162-R0.0/25.7
Award Date03/26/2024
Closeout DateNot set
Work DescriptionHMA, RHMA, AND GEOSYNTHETIC PAVEMENT INTERLAYER.
Location DescriptionMENDOCINO COUNTY NEAR LONGVALE FROM ROUTE 101 TO 1.1 MILES SOUTH OF POONKINNEY ROAD NEAR COVELO
QA Service Level1 (Verified on 01/10/2024)

Sample Information

Sample Taken Date08/08/2024 Sample Unique Key52
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 testing08/12/2024
Sample typeAcceptance A brief description of the sample1 can PG 58-22 binder
The quantity of what the sample constitutes1 can binder From where was the sample collectedSource
First name of sampler or witnessed byThomas Last name of sampler or witnessed byLiffe
Title of samplerPlant QC Telephone number of sampler
Laboratory sample identification24-156 Linked DIME Sample ID
The fabricator/manufacturer/facility nameGranite Ukiah Transportation Laboratory (TL) Number802723
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphalt Binder Performance GradePG 58-22
ModifiedNo Lot number
Sublot number Tank number
Time of sample HMA Supplier
Certified Asphalt SupplierValero Marketing & Supply - Benicia CA MultigradeNo
Multigrade Type Asphalt Binder Mix Number

Submitted Tests

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