Sample Record for 2020-10-29-10
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 214690 DEA: 060W7104
QA Service Level: 1
DIST-CO-RTE-PM: 06-FRE-33-47.4/53.4,72.8/77.6
Work Description: COLD IN-PLACE RECYCLING WITH HMA (TYPE A) OVERLAY.
Location Description: FRESNO COUNTY NEAR MENDOTA AND FIREBAUGH FROM MOUNTAIN VIEW AVENUE TO ADAMS AVENUE AND FROM DOUGLAS AVENUE TO FAIRFAX AVENUE
Contractor Name: PAPICH CONSTRUCTION CO., INC.
Contractor Address: 398 SUNRISE TERRACE;, ARROYO GRANDE CA 93420
Resident Engineer: Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2020-10-29-10
TL Number from the TL Form: na
Sample Submitted By Organization: CT HQ - Sacramento Aggregate Testing Laboratory
Sample Organization Contact: (916) 227-7204
Type of Sample: Per Request
Type of Material: Aggregate
Sample Taken Date: 10/29/2020
Date that the sample was received by the laboratory/organization performing the testing: 11/06/2020
The quantity of what the sample constitutes: 2 bags
A brief description of the sample: L1 SL6 and L2 SL6
From where was the sample collected: Source
Laboratory sample identification: 20-HMA-0223
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: SPM Ave
Material Information
Source Identification (SMARA, name of Pit or Job Site): na
The fabricator's/manufacturer's product name for the sample:
The fabricator/manufacturer designation for the sample:
The plant number:
A detailed description of where the material sample was collected: na
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 1/2 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:
Test Results
