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Sample Record for 2021-07-07-15

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

Project Information

Project ID: 215348 DEA: 060U4204 EFIS: 0616000004 QA Service Level: 1
DIST-CO-RTE-PM: 06-FRE-99-R4.9/11.6
Work Description: CONSTRUCT CRCP, PLACE HMA, AND ROADWAY EXCAVATION.
Location Description: FRESNO COUNTY IN AND NEAR SELMA AND FOWLER FROM MCCALL AVENUE UNDERCROSSING TO 0.5 MILE NORTH OF MERCED STREET UNDERCROSSING
Contractor Name: SECURITY PAVING COMPANY, INC.
Contractor Address: 3075 Townsgate Rd. Suite 200, Westlake Village CA 91361
Resident Engineer: Chris Wilfong Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-07-07-15
TL Number from the TL Form: 039809
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: 07/07/2021
Date that the sample was received by the laboratory/organization performing the testing: 07/15/2021
The quantity of what the sample constitutes: 1 OF 4 CANS
A brief description of the sample: PG70-10
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: San Joaquin Refining

Material Information

Performance Grade: PG 70-10
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