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Sample Record for 2020-10-01-16

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

Project Information

Project ID: 214875 DEA: 033H72U4 EFIS: 0320000087 QA Service Level: 1
DIST-CO-RTE-PM: 03-BUT-70-5.6/9.1
Work Description: ROADWAY EXCAVATION, PLACE HMA & RHMA, & CONSTRUCT DRAINAGE SYSTEMS.
Location Description: BUTTE COUNTY NEAR OROVILLE FROM 0.2 MILE NORTH OF COX LANE TO 0.1 MILE NORTH OF PALERMO ROAD
Contractor Name: BALDWIN CONTRACTING COMPANY INC. DBA. KNIFE RIVER CONSTRUC TION
Contractor Address: 1764 Skyway, Chico, CA 95928
Resident Engineer: Dan Rechs Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-10-01-16
TL Number from the TL Form: 779001
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: 10/01/2020
Date that the sample was received by the laboratory/organization performing the testing: 11/06/2020
The quantity of what the sample constitutes: 1 can
A brief description of the sample: AB PG 64-16 No Test #7, #8(779002)
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Marathon

Material Information

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

Test Results