Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993424 DEA: 04281204 EFIS: 0400000769
QA Service Level: 1
DIST-CO-RTE-PM: 04-NAP-29,221-5.5/6.7,0.0/0.2
Work Description: HMA, RDWY EXCAVATION, STRUCTURAL CONC AND MODIFYING LIGHTING SYSTEMS.
Location Description: NAPA COUNTY NEAR NAPA ON ROUTE 29 FROM 0.7 MILE SOUTH TO 0.5 MILE NORTH OF ROUTE 221 AND ON ROUTE 221 FROM 0.2 MILE NORTH OF ROUTE 29 TO ROUTE 29
Contractor Name: Ghilloti Construction Co.
Contractor Address: 246 Ghilloti Ave, Santa Rosa CA 95407
Resident Engineer: Darren Isada Structure Rep.: Unknown
DIME Sample ID: 2024-06-13-62
TL Number from the TL Form:
Sample Submitted By Organization: CT SC - 3672 - Fairfield
Sample Organization Contact: (510) 393-9778
Type of Sample: Acceptance
Type of Material: Roadway/Bridge Surface
Sample Taken Date: 06/13/2024
Date that the sample was received by the laboratory/organization performing the testing: 07/08/2024
The quantity of what the sample constitutes: 4700
A brief description of the sample: CRCP Friction Testing
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier: 28-Napa
Structure name: CRCP
The fabricator/manufacturer/facility name: Shamrock
Pavement Surface Type: CRCP (Continuously Reinforced Concrete Pavement)
Type of Traffic Control Provided: Stationary Lane Closure
DIST-CO-RTE: 04-Nap-29, 221-5.5/5./, 0.0/0.2
Direction of Travel: North
Post Mile:
Lanes to be Tested: Lane #1
Station:
