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Sample Record for 2021-06-29-29

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

Project Information

Project ID: 215075 DEA: 060Q9104 EFIS: 0614000005 QA Service Level: 1
DIST-CO-RTE-PM: 06-TUL-99-19.2/19.8
Work Description: BRIDGE DECK AND OUTSIDE GIRDER REPLACEMENT.
Location Description: TULARE COUNTY NEAR TIPTON FROM 0.3 MILE SOUTH TO 0.3 MILE NORTH OF AVENUE 152 OVERCROSSING
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 2716 Granite Court, Fresno, CA 93706
Resident Engineer: Javier Huerta Structure Rep.: Peter Moua

Sample Information

DIME Sample ID: 2021-06-29-29
TL Number from the TL Form: c056230
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: 06/29/2021
Date that the sample was received by the laboratory/organization performing the testing: 07/06/2021
The quantity of what the sample constitutes: 1 of 1 cans
A brief description of the sample: PG70-10
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Jaxon - Deer Creek

Material Information

Performance Grade: PG 70-10
Modified: No
Lot number:
Sublot number:
Tank number:
Time of sample:
HMA Supplier: Jaxon - Deer Creek
Certified Asphalt Supplier: San Joaquin Refinery - Bakersfield CA
Multigrade: No
Multigrade Type:
Asphalt Binder Mix Number:

Test Results