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Sample Record for 2020-06-22-24

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

Project Information

Project ID: 214302 DEA: 100E9604 EFIS: 1013000254 QA Service Level: 1
DIST-CO-RTE-PM: 10-TUO,TUO-120-32.5/R56.5
Work Description: COLD PLANE, PLACE HMA, REPLACE RAILING AND SIGNS.
Location Description: TUOLUMNE AND MARIPOSA COUNTIES NEAR BUCK MEADOWS FROM FERRETTI ROAD TO YOSEMITE NATIONAL PARK BOUNDARY
Contractor Name: GEORGE REED INC
Contractor Address: 140 Empire Ave, Modesto, CA 95354
Resident Engineer: Colin Doran Structure Rep.: Stephen Pozzo

Sample Information

DIME Sample ID: 2020-06-22-24
TL Number from the TL Form: 034688
Sample Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Verification
Type of Material: Asphalt Binder
Sample Taken Date: 06/22/2020
Date that the sample was received by the laboratory/organization performing the testing: 07/06/2020
The quantity of what the sample constitutes: 1
A brief description of the sample: PG 64-16 Sample#2 no test
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: VSS Emultech

Material Information

Performance Grade: PG 64-16
Modified: No
Lot number: Unknown
Sublot number: Unknown
Tank number:
Time of sample:
HMA Supplier:
Certified Asphalt Supplier:
Multigrade:
Multigrade Type:
Asphalt Binder Mix Number:

Test Results