Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1001145 DEA: 033G4004 EFIS: 0324000124
QA Service Level: 1
DIST-CO-RTE-PM: 03-YOL-16-9.9/15
Work Description: PARTIAL DEPTH RECYCLING, AND RHMA-G.
Location Description: YOLO COUNTY AT AND NEAR GUINDA FROM 0.2 MILE EAST OF COUNTY ROAD 43 EAST INTERSECTION TO 0.1 MILE WEST OF COUNTY ROAD 68
Contractor Name: ALL-AMERICAN CONSTRUCTION, INC.
Contractor Address: Unknown
Resident Engineer: Luis Pompa Structure Rep.: Unknown
DIME Sample ID: 2025-08-14-57
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: No Test
Type of Material: Asphaltic Emulsion
Sample Taken Date: 08/14/2025
Date that the sample was received by the laboratory/organization performing the testing: 08/15/2025
The quantity of what the sample constitutes: 1 jug
A brief description of the sample: 50/50
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Pacific Northwest Oil
