Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993490 DEA: 051M4604 EFIS: 0519000154
QA Service Level: 1
DIST-CO-RTE-PM: 05-MON-1-44.5
Work Description: CONSTRUCT RETAINING WALL, WIDENING SHOULDER AND PLACE HMA. Highway 1 at Coastlands Rd Soldier Pile Wall.
Location Description: MONTEREY COUNTY NEAR BIG SUR AT 1.0 MILE SOUTH OF PFEIFFER CANYON BRIDGE
Contractor Name: FEC Future Contractors & Engineers, Inc
Contractor Address: 184 Technology Dr., Ste 2, Irvine, CA 92618
Resident Engineer: Arashdeep Pannu Structure Rep.: Alex Naime
DIME Sample ID: 2023-02-15-32
TL Number from the TL Form:
Sample Submitted By Organization: CT D05 - Monterey Construction Field Laboratory
Sample Organization Contact: 831-818-0254
Type of Sample: Quality Assurance
Type of Material: Asphaltic Emulsion
Sample Taken Date: 02/15/2023
Date that the sample was received by the laboratory/organization performing the testing: 02/16/2023
The quantity of what the sample constitutes: 1 Jug
A brief description of the sample: SS-1H Tack Coat
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Graniterock Redwood City Plant
