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: 2025-10-07-42
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: Quality Assurance
Type of Material: Asphalt Binder
Sample Taken Date: 10/07/2025
Date that the sample was received by the laboratory/organization performing the testing: 10/10/2025
The quantity of what the sample constitutes: 1 CAN OF 64-10
A brief description of the sample: 64-10
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: San Joaquin Refining Co Inc
Performance Grade: PG 64-10
Modified:
Lot number:
Sublot number:
Tank number:
Time of sample:
HMA Supplier:
Certified Asphalt Supplier: San Joaquin Refinery - Bakersfield CA
Multigrade: No
Multigrade Type:
Asphalt Binder Mix Number:
DIME Test ID: 2025-10-07-42-1
Test Method: AASHTO T315-24: Standard Method of Test for Determining the Rheological Properties of Asphalt Binder Using a Dynamic Shear Rheometer (DSR) (Dynamic Shear)
Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (530) 713-6823
Data has not been verified.
