Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993805 DEA: 070W1404 EFIS: 0721000062
QA Service Level: 1
DIST-CO-RTE-PM: 07-VEN-1-4.4/9.7
Work Description: COLD PLACE AC PAVEMENT AND PLACE RHMA-G.
Location Description: VENTURA COUNTY FROM BIG SYCAMORE MAINTENANCE STATION AND PARK TO 0.2 MILE SOUTH OF GALLEGUAS GREEK BRIDGE
Contractor Name: C A RASMUSSEN INC
Contractor Address: 28548 LIVINGSTON AVENUE, VALENCIA CA 91355
Resident Engineer: Ranjit Singh Structure Rep.: Unknown
DIME Sample ID: 2022-09-29-54
TL Number from the TL Form:
Sample Submitted By Organization: CT SC - 3675 - Fresno 2
Sample Organization Contact: (559) 304-3318
Type of Sample: Verification
Type of Material: Hot Mix Asphalt
Sample Taken Date: 09/29/2022
Date that the sample was received by the laboratory/organization performing the testing: 09/29/2022
The quantity of what the sample constitutes: 24 boxes of HMA, 2 quarts of binder
A brief description of the sample: 1/2" RHMA - G
From where was the sample collected: Source
Laboratory sample identification: 023-031
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Materials Company
DIME Test ID: 2022-09-29-54-1
Test Method: ASTM D8225-19: Standard Test Method For Determination Of Cracking Tolerance Index Of Asphalt Mixture Using The Indirect Tensile Cracking Test At Intermediate Temperature
Submitted By Organization: CT SC - 3675 - Fresno 2
Organization Address: 3240 North Millbrook Avenue,
Organization City: Fresno
Organization State: CA
Organization Zipcode: 93726
Organization Email: nathan.quiroz@dot.ca.gov
Organization Phone: (559) 304-3318
Data has not been verified.
