Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 995005 DEA: 060X7004 EFIS: 0619000009
QA Service Level: 1
DIST-CO-RTE-PM: 06-TUL-63-5.8/L8.0
Work Description: COLD PLANE PAVEMENT, PLACE RHMA-G, MODIFY LIGHTING AND SIGNAL SYSTEM.
Location Description: TULARE COUNTY IN VISALIA FROM 0.2 MILE SOUTH OF CALDWELL AVENUE TO ROUTE 63/198 SEPARATION
Contractor Name: CAL VALLEY CONSTRUCTION, INC. (Angel Sandoval & Chris Grimm)
Contractor Address: 5125 N. Gates Ave, Suite 102, Fresno, CA 93722
Resident Engineer: Cesar Mandujano Structure Rep.: Unknown
DIME Sample ID: 2024-10-08-17
TL Number from the TL Form:
Sample Submitted By Organization: CT D06 - Visalia Field Laboratory
Sample Organization Contact: (559) 974-1304
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 10/08/2024
Date that the sample was received by the laboratory/organization performing the testing: 10/09/2024
The quantity of what the sample constitutes: 10 Boxes 2 Bags 4 Cans
A brief description of the sample: HMA Type A
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Deer Creek Rock and Aspahlt
DIME Test ID: 2024-10-08-17-1
Test Method: CTM 375-February 2012: Determining the Density and Relative Compaction of Data Cores (lab)
Verified Date: 10/09/2024
Date Tested: 10/09/2024
Submitted By Organization: CT D06 - Visalia Field Laboratory
Organization Address: 8530 W Roosevelt Ave,
Organization City: Visalia
Organization State: CA
Organization Zipcode: 93291
Organization Email: paul.klinker@dot.ca.gov
Organization Phone: (559) 974-1304
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
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Number of Cores
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1
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Core 1 ID
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10-1
|
|
Dry Weight 1
|
736.6 grams
|
|
Parrafin Coated Weight 1
|
747 grams
|
|
Coated Weight in Water 1
|
446.7 grams
|
|
Theoretical Maximum Density
|
2.667
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