Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993665 DEA: 09386104 EFIS: 0921000035
QA Service Level: 1
DIST-CO-RTE-PM: 09-MNO-395-R25.8/35.3
Work Description: COLD PLANE AC PAVEMENT AND PLACE HMA (TYPE A).
Location Description: MONO COUNTY ABOUT 2 MILES EAST OF MAMMOTH LAKES FROM THE ROUTE 395/203 SEPARATION BRIDGE TO 1.2 MILES NORTH OF GLASS CREEK ROAD
Contractor Name: Qualcon Contractors Inc
Contractor Address: 1645 Esmeralda Ave (PO Box 2889), Minden, NV 89423
Resident Engineer: Rick Moberly Structure Rep.: Unknown
DIME Sample ID: 2024-05-20-2
TL Number from the TL Form:
Sample Submitted By Organization: CT D09 - Bishop Field Laboratory
Sample Organization Contact: (760) 872-5211
Type of Sample: Verification
Type of Material: Hot Mix Asphalt
Sample Taken Date: 05/20/2024
Date that the sample was received by the laboratory/organization performing the testing: 05/20/2024
The quantity of what the sample constitutes: 1 Bag of RAP
A brief description of the sample: 3/8" RAP
From where was the sample collected: Source
Laboratory sample identification: 2704
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite Construction Lee Vining Plant
DIME Test ID: 2024-05-20-2-1
Test Method: AASHTO T30-19: Standard Method of Test for Mechanical Analysis of Extracted Aggregate (Mechanical Analysis)
Submitted By Organization: CT D09 - Bishop Field Laboratory
Organization Address: 500 South Main Street,
Organization City: Bishop
Organization State: CA
Organization Zipcode: 93514
Organization Email: chris.talbot@dot.ca.gov
Organization Phone: (760) 872-0794
Data has not been verified.
