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Sample Record for 2021-05-25-14

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

Project Information

Project ID: 215390 DEA: 061A9604 EFIS: 0620000138 QA Service Level: 1
DIST-CO-RTE-PM: 06-TUL-99-41.3/52.0
Work Description: COLD PLANE PAVEMENT AND PLACE RHMA (OGFC).
Location Description: TULARE COUNTY NEAR GOSHEN FROM 0.2 MILE NORTH OF GOSHEN OVERHEAD TO 0.2 MILE NORTH OF DODGE AVENUE OVERCROSSING
Contractor Name: Cal Valley Construction
Contractor Address: 5125 N. Gates Ave., Ste. 102, Fresno, CA, 93722-6414
Resident Engineer: Jake Garcia Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-05-25-14
TL Number from the TL Form: 804293
Sample Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Acceptance
Type of Material: Asphalt Rubber Binder
Sample Taken Date: 05/25/2021
Date that the sample was received by the laboratory/organization performing the testing: 06/02/2021
The quantity of what the sample constitutes: 1 CAN
A brief description of the sample: NO TEST, #4 binder
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: San Joaquin Refinery

Material Information

Asphalt modifier supplier:
Performance Grade: PG 64-16
Lot number:
Sublot number:
Asphalt Rubber Binder Mix Number:

Test Results