Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994819 DEA: 060U4304 EFIS: 0616000033
QA Service Level: 1
DIST-CO-RTE-PM: 06-KER-184-8.5/11.6
Work Description: RESURFACE LANES AND SHOULDERS.
Location Description: KERN COUNTY IN AND NEAR BAKERSFIELD FROM 0.1 MILE NORTH OF EDISON HIGHWAY TO 0.1 MILE NORTH OF CHASE AVENUE
Contractor Name: Griffith Company
Contractor Address: 1128 Carrier Parkway Avenue, Bakersfield CA 93308
Resident Engineer: Amrit Brar Structure Rep.: Unknown
DIME Sample ID: 2024-10-21-40
TL Number from the TL Form: 750754
Sample Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Quality Assurance
Type of Material: Asphaltic Emulsion
Sample Taken Date: 10/21/2024
Date that the sample was received by the laboratory/organization performing the testing: 10/25/2024
The quantity of what the sample constitutes: 1 bottle
A brief description of the sample: ss1h 70/30
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: VSS Emultech
