Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000912 DEA: 061G7704 EFIS: 0624000165
QA Service Level: 1
DIST-CO-RTE-PM: 06-KIN-5-16.6/26.7
Work Description: REMOVE AND REPLACE ASPHALT CONCRETE OVERLAY.
Location Description: KINGS COUNTY IN AND NEAR AVENAL FROM ROUTE 5/41 SEPARATION TO FRESNO COUNTY LINE
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: Unknown
Resident Engineer: Chantha Chap Structure Rep.: Unknown
DIME Sample ID: 2025-12-12-30
TL Number from the TL Form: 000001
Sample Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Quality Assurance
Type of Material: Asphaltic Emulsion
Sample Taken Date: 12/12/2025
Date that the sample was received by the laboratory/organization performing the testing: 12/22/2025
The quantity of what the sample constitutes: 2 Jug
A brief description of the sample: Tack Coat
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite Construction
DIME Test ID: 2025-12-12-30-1
Test Method: AASHTO T59-22: Standard Method of Test for Emulsified Asphalts (Emulsified Asphalt Residue Evap. (Sec. 7))
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.
