Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000232 DEA: 09392304
QA Service Level: 1
DIST-CO-RTE-PM: 09-MNO-120,182-Var
Work Description: RECYCLE PAVEMENT, PLACE HMA, AND INSTALL GUARDRAIL.
Location Description: MONO COUNTY AT VARIOUS LOCATIONS
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown
DIME Sample ID: 2026-07-10-37
TL Number from the TL Form: 5479
Sample Submitted By Organization: CT D09 - Bishop Field Laboratory
Sample Organization Contact: (760) 872-5211
Type of Sample: Verification
Type of Material: Hot Mix Asphalt
Sample Taken Date: 07/10/2026
Date that the sample was received by the laboratory/organization performing the testing: 07/10/2026
The quantity of what the sample constitutes: Hot Drop Re Verification
A brief description of the sample: 1/2" HMA-A-SP PG58-34M R15
From where was the sample collected: Source
Laboratory sample identification: JMF RN 1
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite - Lee Vining Hot Plant
