Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000062 DEA: 061F8204 EFIS: 0623000100
QA Service Level: 1
DIST-CO-RTE-PM: 06-FRE-168-39.6/45.7
Work Description: COLD PLANE AC PVMT, HMA (TYPE A), PAINT TRAFFIC STRIPES.
Location Description: FRESNO COUNTY IN AND NEAR SHAVER LAKE FROM 0.2 MILE WEST OF CRESSMAN ROAD TO WARBLER ROAD
Contractor Name: AGEE CONSTRUCTION CORPORATION
Contractor Address: 1039 Hoblitt Avenue, Clovis, CA 93612
Resident Engineer: Jesse Carpenter Structure Rep.: Unknown
DIME Sample ID: 2024-09-25-14
TL Number from the TL Form:
Sample Submitted By Organization: CT D06 - Millbrook Field Laboratory
Sample Organization Contact: (559) 341-3953
Type of Sample: Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 09/25/2024
Date that the sample was received by the laboratory/organization performing the testing: 09/25/2024
The quantity of what the sample constitutes: 750-1500 Tons
A brief description of the sample: 3/8 HMA Sp R15 PG 64-28
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Ashlan
DIME Test ID: 2024-09-25-14-1
Test Method: AASHTO T308-10: Standard Method of Test for Determining the Asphalt Binder Content of Hot Mix Asphalt (HMA) by the Ignition Method (Method A) (Asphalt Binder Content)
Submitted By Organization: CT D06 - Millbrook Field Laboratory
Organization Address: 1352 W. Olive Ave,
Organization City: Fresno
Organization State: CA
Organization Zipcode: 93728
Organization Email: tomas.silva@dot.ca.gov
Organization Phone: (559) 417-5341
Data has not been verified.
