Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993524 DEA: 051N6704 EFIS: 0521000076
QA Service Level: 1
DIST-CO-RTE-PM: 05-SB,SLO-33-0.0/8.2,0.0/2.9
Work Description: COLD PLANE EXISTING ROADWAY AND PLACE RHMA-G OVERLAY.
Location Description: SANTA BARBARA AND SAN LUIS OBISPO COUNTIES AT AND NEAR VENTUCOPA FROM VENTURA COUNTY LINE TO 0.1 MILE EAST OF ROUTE 166/33
Contractor Name: GRANITE CONSTRUCTION CO.
Contractor Address: 3005 JAMES ROAD, BAKERSFIELD CA 93308
Resident Engineer: Jason Torres Structure Rep.: Unknown
DIME Sample ID: 2022-07-06-22
TL Number from the TL Form:
Sample Submitted By Organization: CT D05 - Santa Maria Field Laboratory
Sample Organization Contact:
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 07/06/2022
Date that the sample was received by the laboratory/organization performing the testing: 07/07/2022
The quantity of what the sample constitutes: L1SL2
A brief description of the sample: 3/4" coldfeed
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite Solari
