Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 213596 DEA: 051C8904 EFIS: 0513000009
QA Service Level: 1
DIST-CO-RTE-PM: 05-MON-101-87.3/R91.5
Work Description: PRECAST CONC PVMT, CRACK AND SEAT PAVEMENT AND RECONSTRUCT RAMPS.
Location Description: MONTEREY COUNTY IN SALINAS FROM EAST MARKET STREET UNDERCROSSING TO 0.3 MILE SOUTH OF ESPINOSA ROAD
Contractor Name: Granite Rock Company
Contractor Address: 411 Walker Street, Watsonville, CA 95076
Resident Engineer: Tyler Lavering Structure Rep.: Juan Moreno
DIME Sample ID: 2020-01-27-27
TL Number from the TL Form:
Sample Submitted By Organization: CT D05 - San Luis Obispo District Laboratory
Sample Organization Contact: (559) 230-3109
Type of Sample: Verification
Type of Material: Asphalt Binder
Sample Taken Date: 01/27/2020
Date that the sample was received by the laboratory/organization performing the testing: 02/12/2020
The quantity of what the sample constitutes: One JMF Renewal
A brief description of the sample: One quart can
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Graniterock Aromas Drum Plant
