Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 995244 DEA: 061A4604 EFIS: 0620000037
QA Service Level: 1
DIST-CO-RTE-PM: 06-FRE-180-89.6/90.7
Work Description: HMA (TYPE A), HMA-OGFC, CL2 AGGREGATE BASE AND ROADWAY EXCAVATION.
Location Description: FRESNO COUNTY AT YOKUTS VALLEY FROM 0.2 MILE EAST OF GEORGE SMITH ROAD TO ELWOOD ROAD.
Contractor Name: CAL VALLEY CONSTRUCTION, INC.
Contractor Address: 5125 North Gate Avenue Suite 102, Fresno, CA 93722
Resident Engineer: Gashu Enquanhone Structure Rep.: Unknown
DIME Sample ID: 2024-07-25-16
TL Number from the TL Form:
Sample Submitted By Organization: CT D06 - Millbrook Field Laboratory
Sample Organization Contact: (559) 341-3953
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 07/25/2024
Date that the sample was received by the laboratory/organization performing the testing: 07/25/2024
The quantity of what the sample constitutes: 0-750 Tons Produced
A brief description of the sample: 3/4 HMA
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Sanger
