Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 995022 DEA: 09392104 EFIS: 0922000034
QA Service Level: 1
DIST-CO-RTE-PM: 09--58-R107.7/R118.0
Work Description: Place RHMA-G (Bonded Wearing Course) over existing pavement.
Location Description: IN KERN COUNTY ABOUT 17 MILES EAST OF TEHACHAPI FROM 0.1 MILE EAST OF CACHE CREEK BRIDGE TO 1.8 MILES EAST OF BUSINESS ROUTE 58 OVERCROSSING.
Contractor Name: GRIFFITH COMPANY
Contractor Address: 1128 Carrier Parkway Ave, Bakersfield, CA 93308
Resident Engineer: Hin Hartanto Structure Rep.: Unknown
DIME Sample ID: 2023-08-07-61
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Production Start-Up
Type of Material: Hot Mix Asphalt
Sample Taken Date: 08/07/2023
Date that the sample was received by the laboratory/organization performing the testing: 08/24/2023
The quantity of what the sample constitutes: 24 BOXES OF RHMA
A brief description of the sample: 1/2" RHMA-G 1.0% LSM
From where was the sample collected: Manufacturer
Laboratory sample identification: 0426G-23
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Grifith-Edmonsten-Lebec
