Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 213283 DEA: 060U09U4 EFIS: 0616000243
QA Service Level: 1
DIST-CO-RTE-PM: 06-FRE-168-R36.0/65.9
Work Description: HMA RESURFACING AND REHAB CULVERTS
Location Description: FRESNO COUNTY IN AND NEAR SHAVER LAKE FROM 0.2 MILE WEST OF AUBERRY ROAD TO KAISER PASS ROAD
Contractor Name: Cal Valley Construction
Contractor Address: 5125 N. Gates Ave., Ste. 102, Fresno, CA, 93722-6414
Resident Engineer: Mark Mengoni Structure Rep.: Unknown
DIME Sample ID: 2019-08-07-30
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Dispute Resolution
Type of Material: Hot Mix Asphalt
Sample Taken Date: 08/07/2019
Date that the sample was received by the laboratory/organization performing the testing: 09/18/2019
The quantity of what the sample constitutes: 2
A brief description of the sample: 3/4" HMA SP R13 - PG 64-28
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Ashlan
DIME Test ID: 2019-08-07-30-1
Test Method: AASHTO T308-10: Standard Method of Test for Determining the Asphalt Binder Content of Hot Mix Asphalt (HMA) by the Ignition Method (Method A) (Asphalt Binder Content)
Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt 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.
