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Sample Record for 2020-10-25-10

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

Project Information

Project ID: 213411 DEA: 030H10U4 EFIS: 0317000246 QA Service Level: 1
DIST-CO-RTE-PM: 03-SAC-5-9.7/24.9
Work Description:
Location Description: Construction on state highway in Sacramento County in and near Sacramento from 1.1 miles south of Elk Grove Boulevard to American River Viaduct
Contractor Name: NOR CAL PAVING TEICHERT/GRANITE
Contractor Address: 400 Sunrise Ave. Ste. #300, Roseville, CA 95661
Resident Engineer: Girmay Beyene Structure Rep.: Luis Guzman

Sample Information

DIME Sample ID: 2020-10-25-10
TL Number from the TL Form:
Sample Submitted By Organization: CT D03 - North Region Materials Lab
Sample Organization Contact: (530) 741-4238
Type of Sample: Verification
Type of Material: Asphalt Binder
Sample Taken Date: 10/25/2020
Date that the sample was received by the laboratory/organization performing the testing: 01/07/2021
The quantity of what the sample constitutes: JMF Verification
A brief description of the sample: PG 64-28m Valero
From where was the sample collected: Manufacturer
Laboratory sample identification: JMF21-002
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Teichert Perkins Batch Plant

Material Information

Performance Grade: PG 64-28 M
Modified: Yes
Lot number:
Sublot number:
Tank number:
Time of sample:
HMA Supplier:
Asphalt Binder Supplier: Valero Marketing & Supply - Benicia CA
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.