Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1002406 DEA: 09428804 EFIS: 0925000089
QA Service Level: 1
DIST-CO-RTE-PM: 09-INY-395-
Work Description: RTE 395 LITTLE LAKE PAVEMENT PRESERVATION (PM R8.4/R11.8): HMA (TYPE A) OVERLAY & DIGOUTS, HMA DIKE (TYPE E), SHOULDER BACKING, RUMBLE STRIP, FOG SEAL, COLD PLANE, THERMO STRIPING
Location Description:
Contractor Name: Bowman Asphalt Inc.
Contractor Address: 3351 Fairhaven Dr., Bakersfield, CA 93308
Resident Engineer: Hin Hartanto Structure Rep.: Unknown
DIME Sample ID: 2026-08-28-6
TL Number from the TL Form:
Sample Submitted By Organization: CT D09 - Bishop Field Laboratory
Sample Organization Contact: (760) 872-5211
Type of Sample: JMF Verification
Type of Material: Hot Mix Asphalt
Sample Taken Date: 08/28/2026
Date that the sample was received by the laboratory/organization performing the testing: 08/28/2026
The quantity of what the sample constitutes: 24 boxes
A brief description of the sample: 3/8 HMA type A
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Bowman Asphalt, Bakersfield
