Sample Record for 2024-05-29-40
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 995240 DEA: 060X3804 EFIS: 0618000060
QA Service Level: 1
DIST-CO-RTE-PM: 06-KER-166-0.0/10.2
Work Description: COLD PLANE, PLACE HMA AND CONCRETE PAVEMENT, MODIFY DRAINAGE SYSTEM.
Location Description: KERN COUNTY IN AND NEAR MARICOPA FROM SOUTH JUNCTION ROUTE 33 TO 2.3 MILES WEST OF SAN EMIGDIO CREEK BRIDGE
Contractor Name: GRIFFITH COMPANY
Contractor Address: 12200 Bloomfield Ave, Santa Fe Springs, CA 90670
Resident Engineer: Kayode Arowosegbe Structure Rep.: Travis Landis
Sample Information
DIME Sample ID: 2024-05-29-40
TL Number from the TL Form:
Sample Submitted By Organization: CT D06 - Bakersfield Field Laboratory
Sample Organization Contact: 661-549-8281
Type of Sample: Acceptance
Type of Material: Aggregate
Sample Taken Date: 05/29/2024
Date that the sample was received by the laboratory/organization performing the testing: 05/30/2024
The quantity of what the sample constitutes: 6 Bags Coldfeed Agg., 3 Bags Rap
A brief description of the sample: 19mm HMA A w 25percent rap
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: coldfeed
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number:
Lot number: 1
Sublot number: 1
Aggregate Mix Number:
Test Results
