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Sample Record for 2020-11-19-12

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 Address: 400 Sunrise Ave. Ste. #300, Roseville, CA 95661
Resident Engineer: Daniel Tecle Structure Rep.: Pha Tran

Sample Information

DIME Sample ID: 2020-11-19-12
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT D03 - Olivehurst Northern Regional Laboratory
Sample Organization Contact: (530) 741-4238
Type of Sample: Verification
Type of Material: Asphalt Binder
Sample Taken Date: 11/19/2020
Date that the sample was received by the laboratory/organization performing the testing: 02/08/2021
The quantity of what the sample constitutes: JMF Verification
A brief description of the sample: PG 64-16 Asphalt Binder
From where was the sample collected: Manufacturer
Laboratory sample identification: JMF21-006
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite Construction Company -- Bradshaw Plant

Material Information

Performance Grade: PG 64-16
Modified: No
Lot number:
Sublot number:
Tank number:
Time of sample:
HMA Supplier:
Asphalt Binder Supplier: Valero Marketing & Supply - Benicia CA
Multigrade Type:
Asphalt Binder Mix Number:

Test Results