Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214649 DEA: 07316004 EFIS: 0715000194
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-14-60.70
Work Description: REHABILITATION FOR THE ON/OFF RAMPS AND ADJACENT SHOULDERS. UPGRADING METAL BEAM GUARDRAILS, AC DIKES, SIGN PANELS, CURB RAMPS, TRAFFIC LOOPS DETECTORS, AND SOME OTHER HIGHWAY APPURTENANCES.
Location Description: ROUTE 14 FROM PALMDALE BLVD TO KERN COUNTRY LINE.
Contractor Name: Guy F. Atkinson Construction LLC
Contractor Address: 18201 Von Karman Ave, Suite 800, Irvine, CA 92612
Resident Engineer: James Shih Structure Rep.: Hossein Sabbagh
DIME Sample ID: 2024-11-14-19
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Production Start-Up
Type of Material: Hot Mix Asphalt
Sample Taken Date: 11/14/2024
Date that the sample was received by the laboratory/organization performing the testing: 11/15/2024
The quantity of what the sample constitutes: 18 BX HMA 2 QT PG70-10 1 QT LAS 1 BG EA BIN SZ 1 BG RAP
A brief description of the sample: 3/4" HMA A SP R15 .5% LAS
From where was the sample collected: Manufacturer
Laboratory sample identification: 0632A-24
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan - PALMDALE
