Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000993 DEA: 061F9004 EFIS: 0623000108
QA Service Level: 1
DIST-CO-RTE-PM: 06-TUL-137,198-Var
Work Description: Tulare County HMA Improvements - HMA (TYPE A) AND RHMA (GAP GRADED).
Location Description: TULARE COUNTY AT VARIOUS LOCATIONS
Contractor Name: ARCHER CIVIL CONSTRUCTION, LLC
Contractor Address: Unknown
Resident Engineer: Cesar Mandujano Structure Rep.: Unknown
DIME Sample ID: 2026-04-28-54
TL Number from the TL Form: 00000
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: 04/28/2026
Date that the sample was received by the laboratory/organization performing the testing: 05/18/2026
The quantity of what the sample constitutes: 2, 1 quart plastic bottles
A brief description of the sample: 2, 1 quart plastic bottles
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Standard Emulsions - Visalia
