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Sample Record for 2021-03-08-24

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

Project Information

Project ID: 214764 DEA: 032H6404 EFIS: 0317000167 QA Service Level: 1
DIST-CO-RTE-PM: 03-SAC-12,160-0.4/0.9,L10.5/R0.2
Work Description: MODIFY SIGNAL AND LIGHTING SYSTEM, PLACE RHMA AND ROADWAY EXCAVATION.
Location Description: SACRAMENTO COUNTY NEAR RIO VISTA ON ROUTE 12 FROM 0.6 MILE EAST OF SACRAMENTO RIVER BRIDGE TO 5.2 MILES WEST OF MOKELUMNE RIVER BRIDGE AND ON ROUTE 160 FROM 3.6 MILES NORTH OF THREE MILE SLOUGH BRIDGE TO 2.7 MILES SOUTH OF CIRCLE DRIVE
Contractor Name: OC JONES & CO.
Contractor Address: 1520 4th Street, Berkeley, Ca 94710
Resident Engineer: Howard Giang Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-03-08-24
TL Number from the TL Form: None provided
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: 03/08/2021
Date that the sample was received by the laboratory/organization performing the testing: 03/09/2021
The quantity of what the sample constitutes: JMF Verification
A brief description of the sample: Asphalt Binder PG 64-16
From where was the sample collected: Manufacturer
Laboratory sample identification: JMF21-010
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: George Reed Inc- Clements Batch Plant

Material Information

Performance Grade: PG 64-16
Modified: No
Lot number:
Sublot number:
Tank number:
Time of sample:
HMA Supplier:
Asphalt Binder Supplier: VSS Emultech - West Sacramento CA
Multigrade: No
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.