Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000430 DEA: 060Y1804 EFIS: 0619000005 COOP: 061796
QA Service Level: 1
DIST-CO-RTE-PM: 06-MAD-145-8.0/12.0
Work Description: Place HMA (Type A), minor concrete sidewalk, lighting (city streets)
Location Description: CONSTRUCTION ON STATE HIGHWAY IN MADERA COUNTY IN AND NEAR MADERA FROM 0.1 MILE SOUTH OF AVENUE 13 TO 0.1 MILE SOUTH OF EAST MADERA UNDERPASS
Contractor Name: Cal Valley Construction, Inc. (Chris Grimm)
Contractor Address: 5125 N Gates Avenue, Fresno, CA 93722
Resident Engineer: Chantha Chap Structure Rep.: None None
DIME Sample ID: 2026-08-13-8
TL Number from the TL Form:
Sample Submitted By Organization: CT D06 - Millbrook Field Laboratory
Sample Organization Contact: (559) 341-3953
Type of Sample: Quality Assurance
Type of Material: Soil
Sample Taken Date: 08/13/2026
Date that the sample was received by the laboratory/organization performing the testing: 08/13/2026
The quantity of what the sample constitutes: CTM 231 compaction test locations
A brief description of the sample: 3/4" CL II AB, Recycled
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Jobsite-Madera CA
The fabricator's/manufacturer's product name for the sample:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Sidewalk 145 & Pecan sta 43+45-45+80
Where the material sample would have been placed if not sampled:
DIME Test ID: 2026-08-13-8-1
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
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.
