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Sample Record for 2021-07-30-20

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: 2021-07-30-20
TL Number from the TL Form: 034244
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: 07/30/2021
Date that the sample was received by the laboratory/organization performing the testing: 08/11/2021
The quantity of what the sample constitutes: 2 CanS
A brief description of the sample: NO TEST #2, 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

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.