Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994884 DEA: 061A3204 EFIS: 0619000233
QA Service Level: 1
DIST-CO-RTE-PM: 06-FRE-180-R62.9/R65.3
Work Description:
Location Description:
Contractor Name: CAL VALLEY CONSTRUCTION
Contractor Address: 5125 N. Gates Ave, Ste 102, Fresno, CA 93722
Resident Engineer: Chris Wilfong Structure Rep.: Unknown
DIME Sample ID: 2023-08-09-21
TL Number from the TL Form:
Sample Submitted By Organization: CT D06 - Millbrook Field Laboratory
Sample Organization Contact: (559) 341-3953
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 08/09/2023
Date that the sample was received by the laboratory/organization performing the testing: 08/09/2023
The quantity of what the sample constitutes: 1100
A brief description of the sample: 3/4 HMA
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Ashlan
DIME Test ID: 2023-08-09-21-1
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 D06 - Millbrook Field Laboratory
Organization Address: 1352 W. Olive Ave,
Organization City: Fresno
Organization State: CA
Organization Zipcode: 93728
Organization Email: tomas.silva@dot.ca.gov
Organization Phone: (559) 417-5341
Data has not been verified.
