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Sample Record for 2021-08-18-58

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Project Information

Project ID: 215572 DEA: 032G1104 EFIS: 0320000230 QA Service Level: 1
DIST-CO-RTE-PM: 03-GLE-162-66.6/76.3
Work Description: PLACE RHMA AND COLD IN-PLACE RECYCLE.
Location Description: GLENN COUNTY IN AND NEAR WILLOWS FROM 0.2 MILE EAST OF N SHASTA STREET TO 1.0 MILE EAST OF ROAD X
Contractor Name: BALDWIN CONTRACTING CO., INC. DBA KNIFE RIVER CONSTRUCTION
Contractor Address: 1764 Skyway, CHICO, CA 95928
Resident Engineer: Dan Reechs Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-08-18-58
TL Number from the TL Form: c779898
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: 08/18/2021
Date that the sample was received by the laboratory/organization performing the testing: 10/01/2021
The quantity of what the sample constitutes: 1 quart can
A brief description of the sample: Asphalt rubber binder
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: KRC Orland

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.