Sample Record for 2025-06-09-20
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1000369 DEA: 09378804 EFIS: 0919000002
QA Service Level: 1
DIST-CO-RTE-PM: 09-MNO-395-R9.8/R12.6
Work Description: PLACE HMA AND ASPHALT BASE, RECYCLE PAVEMENT AND MODIFY ELECTRICAL.
Location Description: MONO COUNTY NEAR TOM\\\\'S PLACE FROM 0.5 MILE NORTH OF LOWER ROCK CREEK ROAD TO 1.3 MILES SOUTH OF SOUTH LANDING OVERCROSSING
Contractor Name: HAT CREEK CONSTRUCTION & MATERIALS, INC.
Contractor Address: Unknown
Resident Engineer: David Carruba Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2025-06-09-20
TL Number from the TL Form:
Sample Submitted By Organization: CT D09 - Bishop Field Laboratory
Sample Organization Contact: (760) 872-5211
Type of Sample: Acceptance
Type of Material: Aggregate
Sample Taken Date: 06/09/2025
Date that the sample was received by the laboratory/organization performing the testing: 06/10/2025
The quantity of what the sample constitutes: 8 boxes of HMA
A brief description of the sample: 3/4" HMA
From where was the sample collected: Job Site
Laboratory sample identification: HMA-5
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite 5 Bridges Bishop Plant
Material Information
Source Identification (SMARA, name of Pit or Job Site): Granite 5 Bridges Road Plant
The fabricator's/manufacturer's product name for the sample:
The fabricator/manufacturer designation for the sample:
The plant number:
A detailed description of where the material sample was collected: Jobsite Sample
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:
Test Results
Tests Assigned to this Sample
| DIME Test ID | Test Method | Assigned Date | Test Date | Assigned By | Assigned Lab | Test Comments | Assigned To |
| 2025-06-09-20-1 | AASHTO T209-22: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity) | 06/10/2025 | Not scheduled | Jeffery Puente | CT D09 - Bishop Field Laboratory | | Derek Carrington |
134146
