Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994246 DEA: 051H6904 EFIS: 0516000140
QA Service Level: 1
DIST-CO-RTE-PM: 05-MON-101-R91.3/98.8,100.3/101.3
Work Description: PLACE RHMA, INSTALL CONCRETE BARRIER AND DRAINAGE SYSTEMS.
Location Description: MONTEREY COUNTY AT AND NEAR PRUNEDALE AND SALINAS FROM 0.3 MILE NORTH OF BORONDA ROAD OVERCROSSING TO 0.4 MILE NORTH OF CRAZY HORSE CANYON ROAD OVERCROSSING AND FROM 0.9 MILE NORTH OF CRAZY HORSE CANYON ROAD OVERCROSSING TO SAN JUAN ROAD OVERCROSSING
Contractor Name: DeSILVA GATES CONSTRUCTION
Contractor Address: 11555 Dublin Blvd, Dublin CA 94568
Resident Engineer: Nash Munes Structure Rep.: Unknown
DIME Sample ID: 2024-07-17-71
TL Number from the TL Form: C716241
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: 07/17/2024
Date that the sample was received by the laboratory/organization performing the testing: 07/26/2024
The quantity of what the sample constitutes: 1 CAN ARB
A brief description of the sample: NO TEST - PG 64-16 Rubber binder
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: San Joaquin Refinery
Asphalt modifier supplier:
Performance Grade: PG 64-16
Lot number:
Sublot number:
Asphalt Rubber Binder Mix Number:
