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Sample Record for 2020-08-17-25

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

Project Information

Project ID: 214684 DEA: 020J1404 EFIS: 0219000065 QA Service Level: 1
DIST-CO-RTE-PM: 02-SIS-96,263-VAR
Work Description: PLACE HMA OVERLAY, GUARDRAIL, SHOULDER BACKING, REPLACE AC SURFACING.
Location Description: SISKIYOU COUNTY AT VARIOUS LOCATIONS
Contractor Name: J.F. Shea Construction, Inc.
Contractor Address: 17400 Clear Creek Road, Redding, CA 96001
Resident Engineer: Austin Henry Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-08-17-25
TL Number from the TL Form: 896023
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: 08/17/2020
Date that the sample was received by the laboratory/organization performing the testing: 08/25/2020
The quantity of what the sample constitutes: 2 Cans #2 No Test
A brief description of the sample: Asphalt Binder PG 58-34M
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Albina Asphalt

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