Sample Record for 2023-05-12-25
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 993482 DEA: 060V2804 EFIS: 0616000124
QA Service Level: 1
DIST-CO-RTE-PM: 06-KER-184-L0.9/L1.1
Work Description: PLACE HMA AND MINOR CONCRETE, REPLACE ELECTRICAL & LIGHTING SYSTEMS.
Location Description: KERN COUNTY NEAR LAMONT FROM 0.1 MILE SOUTH TO 0.1 MILE NORTH OF SUNSET BOULEVARD
Contractor Name: Griffith Company
Contractor Address: 1128 Carrier Parkway, Bakersfield ,CA 93308
Resident Engineer: Jose Quiroz Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2023-05-12-25
TL Number from the TL Form:
Sample Submitted By Organization: CT D06 - Bakersfield Field Laboratory
Sample Organization Contact: 661-549-8281
Type of Sample: Department Acceptance
Type of Material: Aggregate
Sample Taken Date: 05/12/2023
Date that the sample was received by the laboratory/organization performing the testing: 05/12/2023
The quantity of what the sample constitutes: L1SL8 2 bags aggregate and 1 bag RAP
A brief description of the sample: 3/4 HMA type A with 15%RAP
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Griffith Edmonston
Material Information
Source Identification (SMARA, name of Pit or Job Site): 91-15-0068
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: HMA Plant Cold Feed
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: 8
Aggregate Mix Number:
Test Results
