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Sample Record for 2018-06-29-10

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 212408 DEA: 09350804 EFIS: 0900020055 QA Service Level: 1
DIST-CO-RTE-PM: 09-MNO-395-80.6/84.1
Work Description: CONSTRUCT PULVERIZED ROADBED, HMA AND ANCHORED WIRE MESH SYSTEM.
Location Description: MONO COUNTY NEAR BRIDGEPORT FROM BUCKEYE ROAD TO 2.9 MILES SOUTH OF SWAUGER CANYON ROAD
Contractor Name: PAPICH CONSTRUCTION COMPANY, INC.
Contractor Address: PO BOX 2210, PISMO BEACH PO BOX 2210 CA 9344
Resident Engineer: Lee Scotese Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2018-06-29-10
TL Number from the TL Form:
Sample Submitted By Organization: CT D09 - Bishop Field Laboratory
Sample Organization Contact: (760) 872-5211
Type of Sample: Quality Assurance
Type of Material: Asphalt Binder
Sample Taken Date: 06/29/2018
Date that the sample was received by the laboratory/organization performing the testing: 07/02/2018
The quantity of what the sample constitutes: 1 day
A brief description of the sample: Load 13 470 tons
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Road and Highway Builders

Material Information

Performance Grade: PG-58-34M
Modified:
Lot number:
Sublot number:
Tank number:
Time of sample:
HMA Supplier:
Certified Asphalt Supplier:
Multigrade:
Multigrade Type:
Asphalt Binder Mix Number:

Test Results