Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994998 DEA: 061E5704 EFIS: 0622000070
QA Service Level: 1
DIST-CO-RTE-PM: 06-FRE-145-26.1/34/1, 2.0/8.0
Work Description: Cold plane asphalt concrete pavement and place RHMA.
Location Description: FOR CONSTRUCTION ON STATE HIGHWAY IN FRESNO COUNTY IN AND NEAR KERMAN FROM MANNING AVENUE TO 0.1 MILE SOUTH OF CALIFORNIA AVENUE AND IN THE CITY AND COUNTY OF MADERA FROM 0.1 MILE NORTH OF AVENUE 7 TO 0.1 MILE SOUTH OF AVENUE 13
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 2716 S Granite Ct, Fresno, CA 93706
Resident Engineer: Han Ngo Structure Rep.: Unknown
DIME Sample ID: 2023-08-04-58
TL Number from the TL Form:
Sample Submitted By Organization: CT D06 - Millbrook Field Laboratory
Sample Organization Contact: (559) 341-3953
Type of Sample: Department Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 08/04/2023
Date that the sample was received by the laboratory/organization performing the testing: 08/04/2023
The quantity of what the sample constitutes: 750 Tons
A brief description of the sample: 1/2 RHMA
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite Coalinga HMA Plant
