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Sample Record for 2019-04-01-27

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 212753 DEA: 020H7604 EFIS: 0215000086 QA Service Level: 1
DIST-CO-RTE-PM: 02-LAS,PLU-VAR-VAR
Work Description: FULL DEPTH RECLAMATION AND DRAINAGE REHABILITATION
Location Description: LASSEN AND PLUMAS COUNTIES AT AND NEAR CHILCOOT FROM 0.9 MILE WEST OF SUMMIT SCHOOL DRIVE TO 0.7 MILE EAST OF ROUTE 395
Contractor Name: HAT CREEK CONSTRUCTION & MATERIALS, INC.
Contractor Address: 24339 HWT 89, BURNEY, CA 96013
Resident Engineer: Ron Collins Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2019-04-01-27
TL Number from the TL Form:
Sample Submitted By Organization: CGI Technical Services, Inc.
Sample Organization Contact: (530) 244-6277
Type of Sample: Quality Control
Type of Material: Asphalt Binder
Sample Taken Date: 04/01/2019
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: production
A brief description of the sample: Asphalt Binder
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Valero-Benicia Asphalt Plant

Material Information

Performance Grade: PG 58-34 M
Modified: Yes
Lot number:
Sublot number:

Test Results

Test Information 1 of 2

DIME Test ID: 2019-04-01-27-1
Test Method: AASHTO T228-09r13: Standard Method of Test for Specific Gravity of Semi-Solid Asphalt Materials (Specific Gravity)
Verified Date: 05/08/2019
Date Tested: 04/01/2019
Submitted By Organization: CGI Technical Services, Inc.
Organization Address: 1612 Insight Place,
Organization City: Redding
Organization State: CA
Organization Zipcode: 96003
Organization Email: vkyatham@currygroup.com
Organization Phone: (530) 244-6277
General Comments for this Test:
Additional Comments When Verified:
Specific Gravity 1.015

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.