Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 995449 DEA: 07349504 EFIS: 0718000161
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-2,5,101,170-Var
Work Description: INSTALL NEW TRANSPORTATION MANAGEMENT SYSTEM ELEMENTS.
Location Description: LOS ANGELES COUNTY IN LOS ANGELES FROM ROUTE 134/170 SEPARATION TO ROUTE 170/5 SEPARATION
Contractor Name: ALFARO COMMUNICATIONS CONSTRUCTION, INC.
Contractor Address: 15614 South Atlantic Avenue, Compton, CA 90221
Resident Engineer: Kevin Bui Structure Rep.: Unknown
DIME Sample ID: 2025-03-20-11
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: 03/20/2025
Date that the sample was received by the laboratory/organization performing the testing: 03/24/2025
The quantity of what the sample constitutes: 13 BX HMA 2 QT PG58-16 1 QT EVO 3 BG CMB AGG 2 BG RAP
A brief description of the sample: 3/4" WMA A SP R25 .50% EVO
From where was the sample collected: Manufacturer
Laboratory sample identification: 0175A-25
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Sun Valley
