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Sample Record for 2021-04-12-68

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

Project Information

Project ID: 215033 DEA: 033H6504 EFIS: 0318000027 QA Service Level: 1
DIST-CO-RTE-PM: 03-NEV-49-8.3/8.7
Work Description: CONSTRUCT A TWO-WAY LEFT-TURN LANE AND 8' SHOULDERS.
Location Description: NEVADA COUNTY ON ROUTE 49 FROM 0.1 MILE SOUTH OF ROUND VALLEY ROAD TO 0.1 MILE NORTH OF QUAIL CREEK DRIVE
Contractor Name: BALDWIN CONTRACTING CO., INC. DBA KNIFE RIVER CONSTRUCTION
Contractor Address: 1764 Skyway, CHICO, CA 95928
Resident Engineer: Christopher Fallbeck Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-04-12-68
TL Number from the TL Form: C779131
Sample Submitted By Organization: CT D03 - Olivehurst Northern Regional Laboratory
Sample Organization Contact: (530) 741-4238
Type of Sample: Verification
Type of Material: Asphalt Binder
Sample Taken Date: 04/12/2021
Date that the sample was received by the laboratory/organization performing the testing: 04/13/2021
The quantity of what the sample constitutes: 3 cans
A brief description of the sample: PG 64-16 Asphalt Binder
From where was the sample collected: Distributor
Laboratory sample identification: JMF21-022
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Knife River Construction - Hallwood

Material Information

Performance Grade: PG 64-16
Modified: Yes
Lot number:
Sublot number:
Tank number: Unknown
Time of sample: Unknown
HMA Supplier: Knife River Construction - Hallwood
Certified Asphalt Supplier: Valero Marketing & Supply - Benicia CA
Multigrade: No
Multigrade Type:
Asphalt Binder Mix Number:

Test Results