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: 2022-05-26-48
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: Hot Mix Asphalt
Sample Taken Date: 05/26/2022
Date that the sample was received by the laboratory/organization performing the testing: 06/02/2022
The quantity of what the sample constitutes: 2 Boxes HMA 1541.21tons out @ 12:00pm
A brief description of the sample: 3/4" HMA-A-SP R25 1.0% LSM
From where was the sample collected: Manufacturer
Laboratory sample identification: 6643
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite Big Rock
DIME Test ID: 2022-05-26-48-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
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.
