Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994632 DEA: 061E6004 EFIS: 0622000067
QA Service Level: 1
DIST-CO-RTE-PM: 06-KER-166-9.0/24.6
Work Description:
Location Description: FOR CONSTRUCTION ON STATE HIGHWAY IN KERN COUNTY NEAR MARICOPA FROM 4.0 MILES EAST OF BASIC SCHOOL ROAD TO ROUTE 166/99 SEPARATION
Contractor Name: VSS International
Contractor Address: Unknown
Resident Engineer: Jake Garcia Structure Rep.: Unknown
DIME Sample ID: 2002-05-24-1
TL Number from the TL Form: C754983
Sample Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Department Acceptance
Type of Material: Asphaltic Emulsion
Sample Taken Date: 05/24/2002
Date that the sample was received by the laboratory/organization performing the testing: 05/30/2023
The quantity of what the sample constitutes: 1 bottle of emulsion
A brief description of the sample: EMULSION
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: VSS Emultech Bakersfield