Sample Record for 2024-06-24-46
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 993855 DEA: 060U4604 EFIS: 0615000309
QA Service Level: 1
DIST-CO-RTE-PM: 06-KIN-41-20.0-28.4
Work Description: COLD CENTRAL PLANT RECYCLING, HMA AND HMA-OGFC.
Location Description: KINGS COUNTY NEAR KETTLEMAN CITY FROM 0.1 MILE SOUTH OF QUAIL AVENUE TO NEVADA AVENUE
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 2716 S Granite Ct, Fresno, CA 93706
Resident Engineer: Din Dadawalla Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2024-06-24-46
TL Number from the TL Form:
Sample Submitted By Organization: CT D06 - Millbrook Field Laboratory
Sample Organization Contact: (559) 341-3953
Type of Sample: Acceptance
Type of Material: Aggregate
Sample Taken Date: 06/24/2024
Date that the sample was received by the laboratory/organization performing the testing: 06/25/2024
The quantity of what the sample constitutes: 1 bag 3/8 chips
A brief description of the sample: 3/8″ Chips for Use in ARB Chip Seal
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite Coalinga
Material Information
Source Identification (SMARA, name of Pit or Job Site): granite
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: Conveyor Belt
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:
Sublot number:
Aggregate Mix Number:
Test Results
