Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993646 DEA: 080R1414 EFIS: 0815000200
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-40-R100.0/R125.0
Work Description: ROADWAY EXCAVATION, DESERT TORTOISE FENCE, AND BONDED FIBER MATRIX.
Location Description: SAN BERNARDINO COUNTY AT AND NEAR FENNER FROM ESSEX ROAD OVERCROSSING TO 4.5 MILES EAST OF WATER ROAD OVERCROSSING
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 3800 Monroe Street, Indio Ca 92203
Resident Engineer: Anthony Doan Structure Rep.: Unknown
DIME Sample ID: 2022-11-17-20
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Barstow Field Laboratory 1
Sample Organization Contact: (760) 252-9216
Type of Sample: Quality Assurance
Type of Material: Soil
Sample Taken Date: 11/17/2022
Date that the sample was received by the laboratory/organization performing the testing: 11/17/2022
The quantity of what the sample constitutes: 12000SQF
A brief description of the sample: Soil
From where was the sample collected: Job Site
Laboratory sample identification: 11172022 TEST 02
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CTM 231 TEST LOCATION
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: AT THE JOBSITE
Where the material sample would have been placed if not sampled:
DIME Test ID: 2022-11-17-20-1
Test Method: CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear Gages
Submitted By Organization: CT D08 - Barstow Field Laboratory 1
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: kaushalkumar.talati@dot.ca.gov
Organization Phone: (951) 840-8328
Data has not been verified.
