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Sample Record for 2021-06-17-51

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Project Information

Project ID: 215627 DEA: 032G2004 EFIS: 0321000024 QA Service Level: 1
DIST-CO-RTE-PM: 03-YOL-128-0.0/9.8
Work Description: PLACE RHMA AND REPLACE ASPHALT CONCRETE.
Location Description: YOLO COUNTY IN AND NEAR WINTERS FROM PUTAH CREEK BRIDGE TO ROUTE 128/505 SEPARATION
Contractor Name: LAMON CONSTRUCTION
Contractor Address: 871 Von Geldern Way, Yuba City, California 95991
Resident Engineer: David Maher Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-06-17-51
TL Number from the TL Form:
Sample Submitted By Organization: CT D03 - North Region Materials Lab
Sample Organization Contact: (530) 741-4238
Type of Sample: Verification
Type of Material: Asphalt Rubber Binder
Sample Taken Date: 06/17/2021
Date that the sample was received by the laboratory/organization performing the testing: 07/21/2021
The quantity of what the sample constitutes: 3 cans
A brief description of the sample: PG64-16 Asphalt Rubber Binder
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Marathon western base

Material Information

Asphalt modifier supplier:
Performance Grade: PG 64-16
Lot number:
Sublot number:

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.