Sample Record for 2024-04-30-11
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
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
Sample Information
DIME Sample ID: 2024-04-30-11
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: Aggregate
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: L2SL1-PSE
A brief description of the sample: 3/8 HMA A PG64-10
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Griffith Edmonston
Material Information
Source Identification (SMARA, name of Pit or Job Site): 91-15-0068
The fabricator's/manufacturer's product name for the sample:
The fabricator/manufacturer designation for the sample:
The plant number:
A detailed description of where the material sample was collected: HMA Plant Cold Feed
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/8 inch
The concrete mix design number:
Lot number: 2
Sublot number: 1
Aggregate Mix Number:
Test Results
