Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 213877 DEA: 060X8904 EFIS: 0618000179
QA Service Level: 1
DIST-CO-RTE-PM: 06-KIN-41-0.0/11.5
Work Description: COLD PLANE AC PAVEMENT AND PLACE RHMA TYPE G.
Location Description: KINGS COUNTY ABOUT 6.5 MILES SOUTH OF KETTLEMAN CITY FROM KERN COUNTY LINE TO 0.1 MILE SOUTH OF UTICA AVENUE
Contractor Name: PAPICH CONSTRUCTION COMPANY, INC.
Contractor Address: 398 SUNRISE TERRACE;, ARROYO GRANDE CA 93420
Resident Engineer: Michael Stavropoulos Structure Rep.: Unknown
DIME Sample ID: 2019-07-10-19
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Dispute Resolution
Type of Material: Hot Mix Asphalt
Sample Taken Date: 07/10/2019
Date that the sample was received by the laboratory/organization performing the testing: 07/15/2019
The quantity of what the sample constitutes: 10
A brief description of the sample: 1/2 inch RHMA-G
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Millbrook construction Fresno Papich Construction
DIME Test ID: 2019-07-10-19-1
Test Method: AASHTO T275-07r12: Standard Method of Test for Bulk Specific Gravity (Gmb) of Compacted Asphalt Mixtures Using Paraffin-Coated Specimens (Bulk Specific Gravity)
Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Boulevard, Room 225,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (916) 227-7302
Data has not been verified.
