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Sample Record for 2020-06-25-44

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

Project Information

Project ID: 214582 DEA: 020J1704 EFIS: 0219000068 QA Service Level: 1
DIST-CO-RTE-PM: 02-SIS-3-36.0/38.1,R45.0/R46.9
Work Description: ASPHALT RUBBER CHIP SEAL WITH REPLACE AC SURFACING AND STRIPING.
Location Description: SISKIYOU COUNTY IN AND NEAR YREKA FROM 0.2 MILE NORTH OF REIDEL RANCH ROAD TO MOFFETT CREEK ROAD AND FROM 3.5 MILES NORTH OF UPPER SOAP CREEK ROAD TO 0.7 MILE NORTH OF RICHMAN ROAD
Contractor Name: AMERICAN PAVEMENT SYSTEMS, INC.
Contractor Address: 1012 11st.,Suit 1000, Modesto, CA
Resident Engineer: Nicole Mallory Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-06-25-44
TL Number from the TL Form: 990658
Sample Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Acceptance
Type of Material: Asphalt Binder
Sample Taken Date: 06/25/2020
Date that the sample was received by the laboratory/organization performing the testing: 07/29/2020
The quantity of what the sample constitutes: 1 can, #2 NO Test
A brief description of the sample: Asphalt Binder PG 64-16
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Valero Benicia

Material Information

Performance Grade: PG 64-16
Modified: No
Lot number:
Sublot number:

Test Results

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.