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Sample Record for 2021-06-17-24

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

Project Information

Project ID: 213762 DEA: 032F3404 EFIS: 0300020616 QA Service Level: 1
DIST-CO-RTE-PM: 03-PLA-49-3.1/7.5
Work Description: WIDEN SHOULDERS, ADD RETAINING WALLS, REPLACE MBGR, CURBS & ELECTRICAL
Location Description: PLACER COUNTY IN AND NEAR AUBURN FROM 0.1 MILE SOUTH OF ROUTE 49/80 SEPARATION TO 0.1 MILE NORTH OF DRY CREEK ROAD
Contractor Name: FLATIRON WEST INC
Contractor Address: 2100 GOODYEAR ROAD, BENICIA, CA 94510
Resident Engineer: Jeff Johnson Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-06-17-24
TL Number from the TL Form: 930932
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: 06/17/2021
Date that the sample was received by the laboratory/organization performing the testing: 06/21/2021
The quantity of what the sample constitutes: 2ND NO TEST
A brief description of the sample: Asphalt Binder
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Marathon Elk Grove

Material Information

Performance Grade: PG 64-16
Modified: No
Lot number:
Sublot number:
Tank number:
Time of sample:
HMA Supplier:
Asphalt Binder Supplier: Marathon Petroleum Co. LP - Elk Grove 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.