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Sample Record for 2020-04-02-16

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

Project Information

Project ID: 214520 DEA: 051H9804 EFIS: 0517000043 QA Service Level: 1
DIST-CO-RTE-PM: 05-SB-101-78.4/79.0
Work Description: ROADWAY EXCAVATION, PLACE AGGREGATE BASE, HMA AND RHMA-G.
Location Description: SANTA BARBARA COUNTY NEAR SANTA MARIA FROM 0.3 MILE SOUTH TO 0.3 MILE NORTH OF SOLOMON SUMMIT UNDERCROSSING
Contractor Name: Calportland Construction
Contractor Address: 1625 E DONOVAN RD, SANTA MARIA
Resident Engineer: Lilian (Poh Chu) Bennetzen Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-04-02-16
TL Number from the TL Form:
Sample Submitted By Organization: CT D05 - San Luis Obispo District Laboratory
Sample Organization Contact: (559) 230-3109
Type of Sample: Verification
Type of Material: Asphalt Binder
Sample Taken Date: 04/02/2020
Date that the sample was received by the laboratory/organization performing the testing: 04/03/2020
The quantity of what the sample constitutes: One JMF Verification
A brief description of the sample: 2 quart cans
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CalPortland Garey

Material Information

Performance Grade: 64-10
Modified:
Lot number:
Sublot number:
Tank number:
Time of sample:
HMA Supplier:
Certified Asphalt Supplier:
Multigrade:
Multigrade Type:
Asphalt Binder Mix Number:

Test Results