Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
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
DIME Sample ID: 2024-07-03-56
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: Soil
Sample Taken Date: 07/03/2024
Date that the sample was received by the laboratory/organization performing the testing: 07/03/2024
The quantity of what the sample constitutes: 40 lbs class 2 AB
A brief description of the sample: Class 2 Aggregate Base
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Jobsite native subgrade
The fabricator's/manufacturer's product name for the sample:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: CTM 231 Test Holes
Where the material sample would have been placed if not sampled:
