Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994872 DEA: 060X1604 EFIS: 0618000183
QA Service Level: 1
DIST-CO-RTE-PM: 06-KER-58-R64.4/67.3
Work Description: HMA (TYPE A), RHMA-G, JPCP, CRCP & HIGH SPEED WEIGH-IN-MOTION SYSTEM.
Location Description: KERN COUNTY NEAR EDISON FROM 0.2 MILE WEST OF TEJON HIGHWAY OVERCROSSING TO CALIENTE CREEK BRIDGE
Contractor Name: GRIFFITH COMPANY
Contractor Address: 1128 Carrier Parkway Avenue, Bakersfield, CA 93308
Resident Engineer: Mandeep Chahal Structure Rep.: Unknown
DIME Sample ID: 2024-04-30-10
TL Number from the TL Form:
Sample Submitted By Organization: CT D06 - Bakersfield Field Laboratory
Sample Organization Contact: 661-549-8281
Type of Sample: Department Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 04/30/2024
Date that the sample was received by the laboratory/organization performing the testing: 04/30/2024
The quantity of what the sample constitutes: L2SL3
A brief description of the sample: 3/8 Type A HMA
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Griffith Edmonston
