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Sample Record for 2020-07-20-14

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

Project Information

Project ID: 214385 DEA: 024G6104 EFIS: 0214000028 QA Service Level: 1
DIST-CO-RTE-PM: 02-SHA,TRI-3,299-VAR
Work Description: HMA, LIGHTING AND BRIDGE RAIL REPLACEMENT.
Location Description: SHASTA AND TRINITY COUNTIES AT VARIOUS LOCATIONS
Contractor Name: Tullis Inc
Contractor Address: 16951 Clear Creek Road, Redding, CA 96001
Resident Engineer: Mandhir Grewal Structure Rep.: Robert Thompson

Sample Information

DIME Sample ID: 2020-07-20-14
TL Number from the TL Form: 037390
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: 07/20/2020
Date that the sample was received by the laboratory/organization performing the testing: 07/30/2020
The quantity of what the sample constitutes: 1 Can, #4 NO TEST
A brief description of the sample: Asphalt Binder
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 58-34 M
Modified: Yes
Lot number:
Sublot number:
Tank number:
Time of sample:
HMA Supplier:
Certified Asphalt Supplier:
Multigrade:
Multigrade Type:
Asphalt Binder Mix Number:

Test Results