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Sample Record for 2021-05-25-15

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

Project Information

Project ID: 215325 DEA: 101J1704 EFIS: 1018000179 QA Service Level: 1
DIST-CO-RTE-PM: 10-AMA-88-32.3/38.0
Work Description: HMA, TRAFFIC STRIPING, COLD PLANE AC AND RUMBLE STRIP.
Location Description: AMADOR COUNTY AT AND NEAR BARTON FROM 0.4 MILE WEST OF SILVER DRIVE TO 0.2 MILE WEST OF SHAKE RIDGE ROAD
Contractor Name: GEORGE REED , INC.
Contractor Address: 140 EMPIRE AVE, MODESTO CA 95354
Resident Engineer: Iqbal Aulakh Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-05-25-15
TL Number from the TL Form: c034811
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: 05/25/2021
Date that the sample was received by the laboratory/organization performing the testing: 06/04/2021
The quantity of what the sample constitutes: 1 of 1 can
A brief description of the sample: PG64-28M
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: George Reed - Clements Plant

Material Information

Performance Grade: PG 64-28 M
Modified: Yes
Lot number: 1
Sublot number:
Tank number:
Time of sample:
HMA Supplier: George Reed - Clements
Certified Asphalt Supplier: Valero Marketing & Supply - Benicia CA
Multigrade: No
Multigrade Type:
Asphalt Binder Mix Number:

Test Results