Print Report | Back to Sample Detail

Sample Record for 2021-03-30-33

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

Project Information

Project ID: 215296 DEA: 031F1504 EFIS: 0300001101 QA Service Level: 1
DIST-CO-RTE-PM: 03-SAC-50-R7.7/R9.5
Work Description: PLACE HMA, RHMA, AGGREGATE BASE AND FIBER OPTIC SYSTEM.
Location Description: SACRAMENTO COUNTY IN AND NEAR RANCHO CORDOVA FROM BRADSHAW ROAD OVERCROSSING TO MATHER FIELD OVERCROSSING
Contractor Name: DeSILVA GATES CONSTRUCTION
Contractor Address: 3855 N Freeway, Ste. 100, Sacramento, CA 95834
Resident Engineer: Ephrem Teweldeburhan Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-03-30-33
TL Number from the TL Form: C790491
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: 03/30/2021
Date that the sample was received by the laboratory/organization performing the testing: 03/30/2021
The quantity of what the sample constitutes: 2 cans, for JMF Verification
A brief description of the sample: PG 64-16 Asphalt Binder
From where was the sample collected: Manufacturer
Laboratory sample identification: JMF21-019
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Teichert Perkins Batch Plant

Material Information

Performance Grade: PG 64-16
Modified: No
Lot number:
Sublot number:
Tank number:
Time of sample:
HMA Supplier: Teichert Perkins Batch Plant
Asphalt Binder Supplier: Marathon Petroleum Co. LP - Mojave 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.