Sample Record for 2024-08-13-35
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1000114 DEA: 060W8204 EFIS: 0617000304
QA Service Level: 1
DIST-CO-RTE-PM: 06-KIN-41-28.4/R40.1
Work Description: COLD PLANE WITH HOT MIX ASPHALT (TYPE A) AND RHMA-G.
Location Description: KINGS COUNTY AT AND NEAR STRATFORD FROM NEVADA AVENUE TO ROUTE 41/198 SEPARATION
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 2716 S Granite Ct, Fresno, CA 93706
Resident Engineer: Oscar Sherrill Structure Rep.: Martin Garcia
Sample Information
DIME Sample ID: 2024-08-13-35
TL Number from the TL Form:
Sample Submitted By Organization: CT D06 - Millbrook Field Laboratory
Sample Organization Contact: (559) 417-5341
Type of Sample: Acceptance
Type of Material: Aggregate
Sample Taken Date: 08/13/2024
Date that the sample was received by the laboratory/organization performing the testing: 08/13/2024
The quantity of what the sample constitutes: 1049 tons
A brief description of the sample: 1/2 RHMA CF
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite Construction Company
Material Information
Source Identification (SMARA, name of Pit or Job Site): 91-10-0005
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 Conveyor Belt
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 1/2 inch
The concrete mix design number:
Lot number: 5
Sublot number: 2
Aggregate Mix Number: 13436 s
Test Results
