Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1001442 DEA: 101C0504 EFIS: 1017000178
QA Service Level: 1
DIST-CO-RTE-PM: 10-SJ,STA-4-S19.4/38.1,0.0/7.2
Work Description: RHMA (GAP GRADED), HMA AND COLD PLANE ASPHALT CONCRETE PAVEMENT.
Location Description: SAN JOAQUIN AND STANISLAUS COUNTIES IN AND NEAR STOCKTON FROM 1.3 MILES WEST OF WALKER LANE TO 0.5 MILE EAST OF DUNTON ROAD
Contractor Name: GEORGE REED, INC.
Contractor Address: 1200 SCENIC DRIVE, SUITE 200, MODESTO, CA 95350
Resident Engineer: Nomer Gutierrez Structure Rep.: Unknown
DIME Sample ID: 2026-07-30-71
TL Number from the TL Form: 850390
Sample Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: No Test
Type of Material: Asphalt Rubber Binder
Sample Taken Date: 07/30/2026
Date that the sample was received by the laboratory/organization performing the testing: 08/10/2026
The quantity of what the sample constitutes: 1 Quart Can
A brief description of the sample: 1 quart of Rubberized Binder
From where was the sample collected: Supplier
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: George Reed- Table Mountain
Asphalt modifier supplier:
Performance Grade: PG 64-16
Lot number:
Sublot number:
Asphalt Rubber Binder Mix Number:
