Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 215425 DEA: 06360244 EFIS: 0613000005
QA Service Level: 1
DIST-CO-RTE-PM: 06-TUL-99-30.6/35.2
Work Description: Widen Freeway & Bridge Construction (Concrete Bridge)
Location Description:
Contractor Name: SECURITY PAVING COMPANY, INC.
Contractor Address: 13170 TELFAIR AVE, SYLMAR, CA, 91342
Resident Engineer: Javier Huerta Structure Rep.: Ramandeep Guraya
DIME Sample ID: 2023-10-11-105
TL Number from the TL Form:
Sample Submitted By Organization: CT D06 - Visalia Field Laboratory
Sample Organization Contact: (559) 341-4165
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 10/11/2023
Date that the sample was received by the laboratory/organization performing the testing: 10/11/2023
The quantity of what the sample constitutes: 0-2000 T
A brief description of the sample: 3/4 HMA-A PG64-10 Compaction Cores
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name: 06 Tul 99 J st Median
The fabricator/manufacturer/facility name: Security Paving -G3
DIME Test ID: 2023-10-11-105-1
Test Method: AASHTO T275-07r12: Standard Method of Test for Bulk Specific Gravity (Gmb) of Compacted Asphalt Mixtures Using Paraffin-Coated Specimens (Bulk Specific Gravity)
Submitted By Organization: CT D06 - Visalia Field Laboratory
Organization Address: 8530 West Roosevelt Avenue,
Organization City: Visalia
Organization State: CA
Organization Zipcode: 93291
Organization Email: shoaib.ahmed@dot.ca.gov
Organization Phone: (559) 341-4165
Data has not been verified.
