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Sample Record for 2017-04-24-8

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

Project Information

Project ID: 212574 DEA: 02368414 EFIS: 0215000066 QA Service Level: 1
DIST-CO-RTE-PM: 02-SHA-44-R4.6/R6.4
Work Description: CONSTRUCT OVERCROSSING, WIDEN WITH HMA AND AB, AND OVERLAY WITH HMA
Location Description: SHASTA COUNTY NEAR PALO CEDRO FROM CLOUGH CREEK BRIDGE TO 0.6 MILE WEST OF DESCHUTES ROAD UNDERCROSSING
Contractor Name: TULLIS, INC.
Contractor Address: P O BOX 493416, REDDING CA 96049
Resident Engineer: Nathan Alexander Structure Rep.: Chaffie Eric

Sample Information

DIME Sample ID: 2017-04-24-8
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT D02 - Redding Northern Regional Laboratory
Sample Organization Contact: (530) 225-3194
Type of Sample: Verification
Type of Material: Asphalt Binder
Sample Taken Date: 04/24/2017
Date that the sample was received by the laboratory/organization performing the testing: 04/24/2017
The quantity of what the sample constitutes: JMF Design
A brief description of the sample: PG 64-16
From where was the sample collected: Manufacturer
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Valero - Benicia, CA

Material Information

Performance Grade: PG 64-16
Modified:
Lot number:
Sublot number:
Tank number:
Time of sample:
HMA Supplier:
Certified Asphalt Supplier:
Multigrade:
Multigrade Type:
Asphalt Binder Mix Number:

Test Results

Test 1 of 1

DIME Test ID: 2017-04-24-8-1
Test Method: AASHTO T228-09r13: Standard Method of Test for Specific Gravity of Semi-Solid Asphalt Materials (Specific Gravity)
Submitted By Organization: CT D02 - Redding Northern Regional Laboratory
Organization Address: 1657 Riverside Drive,
Organization City: Redding
Organization State: CA
Organization Zipcode: 96001
Organization Email: ward.jenkins@dot.ca.gov
Organization Phone: 530-225-3194
Data has not been verified.