Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 215551 DEA: 051M0104 EFIS: 0519000048
QA Service Level: 1
DIST-CO-RTE-PM: 05-MON-68-R16.8/20.0
Work Description: OVERLAY EXISTING ROADBED WITH RHMA (GAP GRADED).
Location Description: MONTEREY COUNTY IN AND NEAR SALINAS FROM 0.9 MILE EAST OF TORO PARK UNDERCROSSING TO BLANCO ROAD
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 580 West Beach St, Watsonville, CA 95076
Resident Engineer: Baljinder Brar Structure Rep.: Unknown
DIME Sample ID: 2021-08-01-4
TL Number from the TL Form: 972770
Sample Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Acceptance
Type of Material: Asphalt Rubber Binder
Sample Taken Date: 08/01/2021
Date that the sample was received by the laboratory/organization performing the testing: 08/11/2021
The quantity of what the sample constitutes: 1 CAN
A brief description of the sample: NO TEST #4, RUBBER
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: San Joaquin Refinery
Asphalt modifier supplier:
Performance Grade: PG 64-16
Lot number:
Sublot number:
Asphalt Rubber Binder Mix Number:
