Sample Record for 2020-10-28-10
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 214808 DEA: 060Y0404 EFIS: 0619000152
QA Service Level: 1
DIST-CO-RTE-PM: 06-FRE-198-7.8/9.8,13.6/16.6
Work Description: COLD PLANE AC PAVEMENT AND HMA OVERLAY.
Location Description: FRESNO COUNTY NEAR COALINGA FROM COLDWELL LANE TO MINERAL SPRINGS ROAD AND FROM 1.3 MILES EAST OF PARKFIELD JUNCTION TO 2.5 MILES WEST OF COALINGA CREEK BRIDGE
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: 2020-10-28-10
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: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 10/28/2020
Date that the sample was received by the laboratory/organization performing the testing: 11/10/2020
The quantity of what the sample constitutes: 1 bag
A brief description of the sample: JMF HMA lab
From where was the sample collected: Source
Laboratory sample identification: 20-0225
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: na
Material Information
Source Identification (SMARA, name of Pit or Job Site): SPM Ave
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
