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Sample Record for 2021-11-15-53

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Project Information

Project ID: 214395 DEA: 103A7204 EFIS: 1013000259 QA Service Level: 1
DIST-CO-RTE-PM: 10-MER-99-20.1/24.3
Work Description: PLACE CRCP AND HMA.
Location Description: MERCED COUNTY IN AND NEAR ATWATER FROM 0.4 MILE SOUTH OF BUHACH OVERCROSSING TO 0.8 MILE NORTH OF WEST ATWATER OVERHEAD
Contractor Name: Bay Cities Paving & Grading
Contractor Address: 1450 Civic Ct. BLDG B #400, Concord CA, 94520
Resident Engineer: Muhammad Rahman Structure Rep.: Karen Sampson

Sample Information

DIME Sample ID: 2021-11-15-53
TL Number from the TL Form:
Sample Submitted By Organization: CT D10 - District 10 Materials Laboratory
Sample Organization Contact: (209) 948-7567
Type of Sample: Verification
Type of Material: Hot Mix Asphalt
Sample Taken Date: 11/15/2021
Date that the sample was received by the laboratory/organization performing the testing: 11/16/2021
The quantity of what the sample constitutes: 16 boxes of mix
A brief description of the sample: 1/2 HMA-A- R10%
From where was the sample collected: Manufacturer
Laboratory sample identification: 21-J-044
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Santa Fe Aggregate Winton

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number:
Sublot number:
HMA Mix Number:

Test Results