Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000751 DEA: 060Y1704 EFIS: 0619000004
QA Service Level: 1
DIST-CO-RTE-PM: 06-KIN-41-0.0/15.5
Work Description: COLD PLANE AC PVMT, OVERLAY HMA AND RHMA.
Location Description: KINGS COUNTY NEAR KETTLEMAN CITY FROM THE KERN COUNTY LINE TO 0.8 MILE SOUTH OF ROUTE 5
Contractor Name: PAPICH CONSTRUCTION COMPANY, INC.
Contractor Address: Unknown
Resident Engineer: Oscar Sherrill Structure Rep.: Ramandeep Guraya
DIME Sample ID: 2025-06-11-14
TL Number from the TL Form:
Sample Submitted By Organization: CT D06 - Millbrook Field Laboratory
Sample Organization Contact: (559) 341-3953
Type of Sample: Acceptance
Type of Material: Aggregate
Sample Taken Date: 06/11/2025
Date that the sample was received by the laboratory/organization performing the testing: 06/11/2025
The quantity of what the sample constitutes: 750 Tons
A brief description of the sample: 3/4 hma coldfeed
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Sierra Pacific - Avenal
Source Identification (SMARA, name of Pit or Job Site): 91-10-0006
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: Conveyor Belt
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: 1
Sublot number: 12
Aggregate Mix Number:
DIME Test ID: 2025-06-11-14-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Submitted By Organization: CT D06 - Millbrook Field Laboratory
Organization Address: 1352 W. Olive Ave,
Organization City: Fresno
Organization State: CA
Organization Zipcode: 93728
Organization Email: tomas.silva@dot.ca.gov
Organization Phone: (559) 417-5341
Data has not been verified.
DIME Test ID: 2025-06-11-14-2
Test Method: AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent)
Submitted By Organization: CT D06 - Millbrook Field Laboratory
Organization Address: 1352 W. Olive Ave,
Organization City: Fresno
Organization State: CA
Organization Zipcode: 93728
Organization Email: tomas.silva@dot.ca.gov
Organization Phone: (559) 417-5341
Data has not been verified.
