Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000141 DEA: 033G0404 EFIS: 0323000118
QA Service Level: 1
DIST-CO-RTE-PM: 03-YOL-16-0.6/3.9,5.7/6.0
Work Description: RHMA, PARTIAL DEPTH RECYCLING, & REPLACE AC SURFACING.
Location Description: YOLO COUNTY NEAR RUMSEY FROM COLUSA COUNTY LINE TO CACHE CREEK BRIDGE AND FROM 0.6 TO 0.4 MILE WEST OF RUMSEY CANYON BRIDGE
Contractor Name: O.C. JONES & SONS, INC.
Contractor Address: 1520 4th Street, Berkeley, CA 94710
Resident Engineer: Luis Pompa Structure Rep.: Unknown
DIME Sample ID: 2024-08-22-37
TL Number from the TL Form: 849057
Sample Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Verification
Type of Material: Asphaltic Emulsion
Sample Taken Date: 08/22/2024
Date that the sample was received by the laboratory/organization performing the testing: 08/23/2024
The quantity of what the sample constitutes: 1 OF 1
A brief description of the sample: PASS R
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Western Emulsions Inc
