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: 2024-10-09-32
TL Number from the TL Form:
Sample Submitted By Organization: CT D06 - Bakersfield Field Laboratory
Sample Organization Contact: 661-549-8281
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 10/09/2024
Date that the sample was received by the laboratory/organization performing the testing: 10/10/2024
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: 2024-10-09-32-1
Test Method: AASHTO T275-07r12: Standard Method of Test for Bulk Specific Gravity (Gmb) of Compacted Asphalt Mixtures Using Paraffin-Coated Specimens (Bulk Specific Gravity)
Verified Date: 10/10/2024
Date Tested: 10/10/2024
Submitted By Organization: CT D06 - Bakersfield Field Laboratory
Organization Address: 1824 Norris Road,
Organization City: Bakersfield
Organization State: CA
Organization Zipcode: 93308
Organization Email: kulwinder.rai@dot.ca.gov
Organization Phone: (661) 549-8281
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
|
Bulk Specific Gravity
|
2.467
|