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Sample Record for 2024-09-20-100

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 993333 DEA: 04264724 EFIS: 0419000068 QA Service Level: 1
DIST-CO-RTE-PM: 04-MRN-101-R20.8/27.1
Work Description: CIP BRIDGES, CONSTRUCT ROADWAY, RETAINING WALLS AND MODIFY ELECTRICAL.
Location Description: MARIN COUNTY IN AND NEAR NOVATO FROM 0.1 MILE SOUTH OF FRANKLIN AVENUE OVERHEAD TO 0.5 MILE SOUTH OF SAN ANTONIO CREEK BRIDGE
Contractor Name: GHILOTTI CONSTRUCTION CO. INC. (RILEY GENAZZI & JOSH SERAFINO)
Contractor Address: 246 GHILOTTI AVE., SANTA ROSA, CA 95407
Resident Engineer: Fabio La Serna Structure Rep.: Jeremy Light

Sample Information

DIME Sample ID: 2024-09-20-100
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - Petaluma Field Laboratory
Sample Organization Contact: (510) 385-6841
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 09/20/2024
Date that the sample was received by the laboratory/organization performing the testing: 09/23/2024
The quantity of what the sample constitutes: 4 boxes
A brief description of the sample: 3/4 HMA-SP Type A
From where was the sample collected: Manufacturer
Laboratory sample identification: PET-24-462
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Dutra San Rafael

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number: 12
Sublot number: 11
HMA Mix Number:

Test Results