Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000850 DEA: 061G8204 EFIS: 0624000169
QA Service Level: 1
DIST-CO-RTE-PM: 06-FRE-33-46.8/47.4,53.4/61.4
Work Description: PARTIAL DEPTH RECYCLING AND HMA.
Location Description: FRESNO COUNTY IN AND NEAR MENDOTA FROM 0.4 MILE NORTH OF KAMM AVENUE TO MOUNTAIN VIEW AVENUE AND FROM ADAMS AVENUE TO BELMONT AVENUE
Contractor Name: ARCHER CIVIL CONSTRUCTION, LLC.
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown
DIME Sample ID: 2025-10-07-19
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: 10/07/2025
Date that the sample was received by the laboratory/organization performing the testing: 10/07/2025
The quantity of what the sample constitutes: 1 BAG PDR GRINDINGS
A brief description of the sample: PDR GRINDINGS
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite Rock
Source Identification (SMARA, name of Pit or Job Site): 0
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: LOT#27 STATION (147+80) NB
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 1 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:
DIME Test ID: 2025-10-07-19-1
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) 341-3953
Data has not been verified.
