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Sample Record for 2020-08-18-31

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

Project Information

Project ID: 210673 DEA: 042640F4 EFIS: 0400020132 COOP: 042308A3 QA Service Level: 1
DIST-CO-RTE-PM: 04-SON-101-4.0/7.1
Work Description: DESIGN THE NORTHERLY SEGMENT OF THE MARIN-SONOMA NARROWS PROJECT AND INCLUDES SOUND WALLS, BRIDGES, MEDIAN WIDENING AND RAMP WIDENING.
Location Description: JUST NORTH OF THE U.S. 101 AND STATE ROUTE 116 CONNECTION TO 0.3 MILE NORTH OF THE CORONA ROAD OVERCROSSING IN THE CITY OF PETALUMA.
Contractor Name: GHILOTTI CONSTRUCTION CO. INC.
Contractor Address: 246 GHILOTTI AVENUE, SANTA ROSA, CA 95407
Resident Engineer: Richard Duncan Structure Rep.: Brian Beaudoin

Sample Information

DIME Sample ID: 2020-08-18-31
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - DME / District Lab
Sample Organization Contact: (510) 507-3456
Type of Sample: Quality Control
Type of Material: Asphalt Binder
Sample Taken Date: 08/18/2020
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 2 cans
A brief description of the sample: Oil-1/2" HMA w/RAP
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Valero Benicia

Material Information

Performance Grade: PG 64-16
Modified:
Lot number:
Sublot number:
Tank number:
Time of sample:
HMA Supplier:
Asphalt Binder Supplier:
Multigrade:
Multigrade Type:

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.