Sample Record for 2023-04-12-12
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 994078 DEA: 060X7604 EFIS: 0618000129
QA Service Level: 1
DIST-CO-RTE-PM: 06-KER-119-0.2/0.6
Work Description: INSTALL LEFT-TURN CHANNELIZATIONS, CONSTRUCT WIDENING, RHMA OVERLAY.
Location Description: KERN COUNTY IN TAFT FROM 0.1 MILE NORTH OF GARDNER FIELD ROAD TO 0.5 MILE SOUTH OF ASH STREET
Contractor Name: Granite Construction
Contractor Address: 3005 James Road, Bakersfield, CA 93308
Resident Engineer: Jake Garcia Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2023-04-12-12
TL Number from the TL Form:
Sample Submitted By Organization: CT D06 - Bakersfield Field Laboratory
Sample Organization Contact: 661-549-8281
Type of Sample: Acceptance
Type of Material: Aggregate
Sample Taken Date: 04/12/2023
Date that the sample was received by the laboratory/organization performing the testing: 04/13/2023
The quantity of what the sample constitutes: 1 bag of Class 2 AB
A brief description of the sample: Class 2 Aggregate Base
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: jobsite Rte 119
Material Information
Source Identification (SMARA, name of Pit or Job Site): 91-15-0114
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: jobsite sta 52
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number:
Lot number: 1
Sublot number: 5
Aggregate Mix Number:
Test Results
