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Sample Record for 2021-08-02-18

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

Project Information

Project ID: 215341 DEA: 101J1204 EFIS: 1018000150 QA Service Level: 1
DIST-CO-RTE-PM: 10-MER-33-R0.0/L5.7
Work Description: COLD PLANE ASPHALT CONCRETE AND PLACE HOT MIX ASPHALT.
Location Description: MERCED COUNTY IN AND NEAR DOS PALOS FROM FRESNO COUNTY LINE TO 0.1 MILE NORTH OF EAST JUNCTION ROUTE 152
Contractor Name: CAL VALLEY CONSTRUCTION, INC.
Contractor Address: 5125 N. Gates Ave, Suite 102, Fresno, CA 93722
Resident Engineer: Michael Stewart Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-08-02-18
TL Number from the TL Form: 034061
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: 08/02/2021
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. PG64-16
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Teichert Santa Fe Winton

Material Information

Performance Grade: PG 64-16
Modified:
Lot number:
Sublot number:
Tank number:
Time of sample:
HMA Supplier:
Certified Asphalt Supplier: Pacific Northwest Oil - Stockton CA
Multigrade: No
Multigrade Type:
Asphalt Binder Mix Number:

Test Results