Sample Record for 2025-07-28-26
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1000510 DEA: 060W79U4 EFIS: 0622000189
QA Service Level: 1
DIST-CO-RTE-PM: 06-KER,TUL-99-56.4/57.6,0.0/13.5
Work Description: RDWY EXC, HMA, AGGREGATE BASE, CRCP, SIGN STR, AND STR EXC.
Location Description: KERN AND TULARE COUNTIES IN AND NEAR DELANO FROM 0.2 MILE SOUTH OF CECIL AVENUE OVERCROSSING TO 0.7 MILE NORTH OF AVENUE 100 OVERCROSSING
Contractor Name: SECURITY PAVING COMPANY, INC.
Contractor Address: 2915 Fairhaven Drive, Bakersfield, CA 93308
Resident Engineer: Jake Garcia Structure Rep.: Raman Guraya
Sample Information
DIME Sample ID: 2025-07-28-26
TL Number from the TL Form:
Sample Submitted By Organization: CT D06 - Bakersfield Field Laboratory
Sample Organization Contact: 661-549-8281
Type of Sample: Acceptance
Type of Material: Aggregate
Sample Taken Date: 07/28/2025
Date that the sample was received by the laboratory/organization performing the testing: 07/29/2025
The quantity of what the sample constitutes: L1SL1- 750 tonnes PSE
A brief description of the sample: 3/4 inch HMA- A
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Jaxon Baker/Deer Creek
Material Information
Source Identification (SMARA, name of Pit or Job Site): 91-54-0021
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: HMA Plant Cold Feed
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: 1
Aggregate Mix Number:
Test Results
