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Sample Record for 2021-07-12-28

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

Project Information

Project ID: 215607 DEA: 061C6504 EFIS: 0621000099 QA Service Level: 1
DIST-CO-RTE-PM: 06-FRE-41-R0.5/M5.9
Work Description: RESURFACE AC PAVEMENT AND INSTALL MEDIAN TYPE K CONCRETE BARRIER.
Location Description: FRESNO COUNTY ABOUT 6 MILES NORTH OF LEMOORE FROM 0.5 MILE NORTH OF EXCELSIOR AVENUE UNDERCROSSING TO 0.2 MILE SOUTH OF ELKHORN AVENUE
Contractor Name: Cal Valley Construction
Contractor Address: 5125 N. Gates Ave., Ste. 102, Fresno, CA, 93722-6414
Resident Engineer: Mark Mengoni Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-07-12-28
TL Number from the TL Form: 039882
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: 07/12/2021
Date that the sample was received by the laboratory/organization performing the testing: 07/14/2021
The quantity of what the sample constitutes: 1 OF 3 CANS
A brief description of the sample: BINDER 64-16
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: San Joaquin Refining Co Inc

Material Information

Performance Grade: PG 64-16
Modified: No
Lot number:
Sublot number:
Tank number:
Time of sample:
HMA Supplier:
Certified Asphalt Supplier: San Joaquin Refinery - Bakersfield CA
Multigrade: No
Multigrade Type:
Asphalt Binder Mix Number:

Test Results