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Sample Record for 2019-10-08-25

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

Project Information

Project ID: 213732 DEA: 044K1104 EFIS: 0417000260 QA Service Level: 1
DIST-CO-RTE-PM: 04-SF-1-R0.0/0.9,R4.0/6.9
Work Description: REHABILITATE ROADWAY AND REPLACE SIGNALS.
Location Description: THE CITY AND COUNTY OF SAN FRANCISCO FROM SAN MATEO COUNTY LINE TO HOLLOWAY AVENUE AND FROM LINCOLN WAY TO RUCKMAN AVENUE UNDERCROSSING
Contractor Name: GHILOTTI BROS INC
Contractor Address: 525 Jacoby St., San Rafael, CA 94901
Resident Engineer: Jose Mario David Structure Rep.: Sergio Gomez

Sample Information

DIME Sample ID: 2019-10-08-25
TL Number from the TL Form: 924877
Sample Submitted By Organization: CT D04 - Hayward Field Laboratory
Sample Organization Contact: (510) 723-0168
Type of Sample: Verification
Type of Material: Hot Mix Asphalt
Sample Taken Date: 10/08/2019
Date that the sample was received by the laboratory/organization performing the testing: 10/14/2019
The quantity of what the sample constitutes: 20 Boxes
A brief description of the sample: 1/2" RHMA
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite Construction Company

Material Information

HMA Type: RHMA-G
HMA Grading: 1/2 inch
Lot number: Unknown
Sublot number: Unknown
HMA Mix Number:

Test Results