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Sample Record for 2021-09-20-35

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Project Information

Project ID: 214919 DEA: 060U4504 EFIS: 0615000298 QA Service Level: 1
DIST-CO-RTE-PM: 06-FRE-168-18.6/T25.5
Work Description: COLD PLANE AC PAVEMENT AND HOT MIX ASPHALT RESURFACING.
Location Description: FRESNO COUNTY NEAR PRATHER FROM 0.1 MILE EAST OF SAMPLE ROAD TO OAK CREEK ROAD
Contractor Name: Cal Valley Construction
Contractor Address: 5125 N. Gates Ave., Ste. 102, Fresno, CA, 93722-6414
Resident Engineer: Mark Mengoni Structure Rep.: Raman Guraya

Sample Information

DIME Sample ID: 2021-09-20-35
TL Number from the TL Form: c039980
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: 09/20/2021
Date that the sample was received by the laboratory/organization performing the testing: 09/30/2021
The quantity of what the sample constitutes: 1 can
A brief description of the sample: Rubberized PG64-16
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CMI Fresno

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.