Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1037 DEA: 032F1004 EFIS: 0300020500
QA Service Level: 1
DIST-CO-RTE-PM: 03-ED-193-23.45/23.75
Work Description: At Location 1 replace failed pavement ; At Location 2 place retaining system and replace pavement
Location Description: In ED County near Kelsey , from 2.7 miles east of Kelsey to 0.8mile west of South Fork American River
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Luis Rivas Structure Rep.: Unknown
DIME Sample ID: 2025-02-20-4
TL Number from the TL Form:
Sample Submitted By Organization: CT D05 - San Luis Obispo District Laboratory
Sample Organization Contact: 8057463562
Type of Sample: Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 02/20/2025
Date that the sample was received by the laboratory/organization performing the testing: 02/20/2025
The quantity of what the sample constitutes: 750 Tons
A brief description of the sample: box of HMA
From where was the sample collected: Manufacturer
Laboratory sample identification: 25-A-058
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: SPM Avenal
DIME Test ID: 2025-02-20-4-1
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 D05 - San Luis Obispo District Laboratory
Organization Address: 50 Higuera Street,
Organization City: San Luis Obispo
Organization State: CA
Organization Zipcode: 93401
Organization Email: daniel.gingras@dot.ca.gov
Organization Phone: (805) 549-3141
Data has not been verified.
