Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994555 DEA: 032G7504 EFIS: 0322000154
QA Service Level: 1
DIST-CO-RTE-PM: 03-GLE-45-7.0/23.2
Work Description: FULL AND PARTIAL DEPTH RECYCLING, PLACE RHMA.
Location Description: GLENN COUNTY NEAR HAMILTON CITY FROM 4.4 MILES SOUTH TO 1.4 MILES NORTH OF BAYLISS BLUE GUM ROAD AND FROM 3.5 MILES SOUTH TO 2.5 MILES NORTH OF STONY CREEK BRIDGE
Contractor Name: BALDWIN CONTRACTING CO., INC. DBA KNIFE RIVER CONSTRUCTION
Contractor Address: 1764 Skyway, Chico, CA 95928
Resident Engineer: Dwayne Grandy Structure Rep.: Not Applicable
DIME Sample ID: 2023-07-07-8
TL Number from the TL Form: 802880
Sample Submitted By Organization: CT D03 - Chico Field Laboratory
Sample Organization Contact: (916) 799-4305
Type of Sample: Verification
Type of Material: Hot Mix Asphalt
Sample Taken Date: 07/07/2023
Date that the sample was received by the laboratory/organization performing the testing: 07/10/2023
The quantity of what the sample constitutes: 1111
A brief description of the sample: 1/2" RHMA-G PNW BASE
From where was the sample collected: Supplier
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: KRC Orland Drum Plant
