Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1002572 DEA: 061H9704 EFIS: 0625000105
QA Service Level: 1
DIST-CO-RTE-PM: 06-MAD-152-R0.0/15.5
Work Description: MADERA COUNTY SLAB REPLACEMENT WITH DIGOUTS ON SR 59, 152. Cold plane AC, remove concrete pavement and place with HMA and RHMA.
Location Description: CONSTRUCTION ON STATE HIGHWAY IN MADERA COUNTY NEAR CHOWCHILLA FROM ROUTE 59/152 SEPARATION TO 0.1 MILE WEST OF ROUTE 99/152 SEPARATION.
Contractor Name: Granite Construction Company (Jorge Velazquez)
Contractor Address: Unknown
Resident Engineer: Alaa Ghoneim Structure Rep.: None None
DIME Sample ID: 2026-09-22-47
TL Number from the TL Form: 027398
Sample Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: No Test
Type of Material: Asphalt Rubber Binder
Sample Taken Date: 09/22/2026
Date that the sample was received by the laboratory/organization performing the testing: 09/29/2026
The quantity of what the sample constitutes: 1 CAN
A brief description of the sample: 1 CAN OF RUBBER BINDER
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Sante Fe Aggregates Winton
Asphalt modifier supplier:
Performance Grade: PG 64-16
Lot number:
Sublot number:
Asphalt Rubber Binder Mix Number:
DIME Test ID: 2026-09-22-47-1
Test Method: ASTM D7741-11ε1: Standard Test Method for Measurement of Apparent Viscosity of Asphalt-Rubber or Other Asphalt Binders by Using a Rotational Handheld Viscometer (Viscosity)
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.
