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Sample Record for 2018-05-15-38

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

Project Information

Project ID: 212679 DEA: 023E7204 EFIS: 0200020154 QA Service Level: 1
DIST-CO-RTE-PM: 02-TEH-36-42.1/46.0
Work Description: COLD PLANING, PAVING, MINOR CONCRETE, ELECTRICAL AND STRIPING WORK.
Location Description: TEHAMA COUNTY IN AND NEAR RED BLUFF FROM EAST SAND SLOUGH BRIDGE TO 0.6 MILE EAST OF STICE ROAD
Contractor Name: TULLIS, INC.
Contractor Address: 16951 Clear Creek Rd., Redding, CA 96049
Resident Engineer: Anthony Granados Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2018-05-15-38
TL Number from the TL Form: 894975
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: 05/15/2018
Date that the sample was received by the laboratory/organization performing the testing: 05/15/2018
The quantity of what the sample constitutes: JMF Verification
A brief description of the sample: Asphalt Rubber Binder, PG 64-16 CR
From where was the sample collected: Manufacturer
Laboratory sample identification: D77386
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Tullis, Inc - Northstate Asphalt - Redding, CA

Material Information

Performance Grade: PG 64-16 CR
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: 2018-05-15-38-1
Test Method: AASHTO T228-09r13: Standard Method of Test for Specific Gravity of Semi-Solid Asphalt Materials (Specific Gravity)
Verified Date: 08/14/2018
Date Tested: 05/15/2018
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
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Specific Gravity 1.040