Sample Record for 2019-09-12-28
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 214032 DEA: 09378604 EFIS: 0918000080
QA Service Level: 1
DIST-CO-RTE-PM: 09-KER-58-R128.9/R135.1
Work Description: COLD PLANE AC PAVEMENT AND PLACE HMA.
Location Description: KERN COUNTY NEAR BORON FROM 1.3 MILES EAST OF CALIFORNIA CITY BOULEVARD TO 1.3 MILES WEST OF TWENTY MULE TEAM OVERCROSSING
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 3005 James Road, Bakersfield, CA 93308
Resident Engineer: Hin Hartanto Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2019-09-12-28
TL Number from the TL Form: C912442
Sample Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Acceptance
Type of Material: Aggregate
Sample Taken Date: 09/12/2019
Date that the sample was received by the laboratory/organization performing the testing: 09/25/2019
The quantity of what the sample constitutes: 1 bag
A brief description of the sample: Coldfeed 3/4" Virgin Agg
From where was the sample collected: Job Site
Laboratory sample identification: 8737
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Little Rock
Material Information
Source Identification (SMARA, name of Pit or Job Site): Unknown
The fabricator's/manufacturer's product name for the sample: Unknown
The fabricator/manufacturer designation for the sample: Unknown
The plant number: Unknown
A detailed description of where the material sample was collected: Sample obtained while paving
Where the material sample would have been placed if not sampled: Unknown
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number: Unknown
Lot number: Unknown
Sublot number: Unknown
Aggregate Mix Number:
Test Results
