Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000165 DEA: 09392504 EFIS: 0923000029
QA Service Level: 1
DIST-CO-RTE-PM: 09-INY-395-R17.2/25.8
Work Description: HOT MIX ASPHALT (TYPE A), SHOULDER BACKING, & STRIPING.
Location Description: INYO COUNTY ABOUT 9 MILES SOUTH OF OLANCHA FROM 0.8 MILE SOUTH OF SYKES ROAD TO 0.3 MILE NORTH OF HAIWEE CANYON ROAD
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 8999 Capacity Street, Arvin, CA 93203
Resident Engineer: Garret Rottner Structure Rep.: Unknown
DIME Sample ID: 2024-08-20-8
TL Number from the TL Form:
Sample Submitted By Organization: CT D09 - Bishop Field Laboratory
Sample Organization Contact: (760) 872-5211
Type of Sample: Verification
Type of Material: Hot Mix Asphalt
Sample Taken Date: 08/20/2024
Date that the sample was received by the laboratory/organization performing the testing: 08/20/2024
The quantity of what the sample constitutes: 1 box, 1 Core
A brief description of the sample: 3/4" HMA core
From where was the sample collected: Job Site
Laboratory sample identification: HMA Core 1A
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Solari plant Granite Arvin
DIME Test ID: 2024-08-20-8-1
Test Method: AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)
Verified Date: 08/21/2024
Date Tested: 08/21/2024
Submitted By Organization: CT D09 - Bishop Field Laboratory
Organization Address: 500 South Main Street,
Organization City: Bishop
Organization State: CA
Organization Zipcode: 93514
Organization Email: chris.talbot@dot.ca.gov
Organization Phone: (760) 872-0794
General Comments for this Test: PSE-01 1-1A
Test Result Compliance: complies
Additional Comments When Verified:
