Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 215315 DEA: 081H8304 EFIS: 0817000139
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD,SBD-138-0/2.3
Work Description: CONSTRUCT 4' MEDIAN
Location Description: SAN BERNARDINO COUNTY ALONG ROUTE 138
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 213 E Columbia Way, Lancaster, CA 93552
Resident Engineer: Mauricio Santa Cruz Structure Rep.: Unknown
DIME Sample ID: 2022-04-27-15
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Barstow Field Laboratory 1
Sample Organization Contact: (760) 252-9216
Type of Sample: Quality Assurance
Type of Material: Soil
Sample Taken Date: 04/27/2022
Date that the sample was received by the laboratory/organization performing the testing: 04/27/2022
The quantity of what the sample constitutes: 13750 SQFT
A brief description of the sample: SOIL
From where was the sample collected: Job Site
Laboratory sample identification: 04272022 TEST 04
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CTM 231 TEST LOCATION
The fabricator's/manufacturer's product name for the sample: LARRY FRANCISCO
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: AT THE JOBSITE
Where the material sample would have been placed if not sampled:
DIME Test ID: 2022-04-27-15-1
Test Method: CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear Gages
Submitted By Organization: CT D08 - Barstow Field Laboratory 1
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: kaushalkumar.talati@dot.ca.gov
Organization Phone: (951) 840-8328
Data has not been verified.
