Sample Record for 2024-04-18-17
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 215771 DEA: 09367504 EFIS: 0916000032
QA Service Level: 1
DIST-CO-RTE-PM: 09--5756-NA
Work Description: Building work, hot mix asphalt (type A)
Location Description: IN KERN COUNTY IN TEHACHAPI AT THE TEHACHAPI HIGHWAY MAINTENANCE STATION AT 305 INDUSTRIAL PARKWAY
Contractor Name: BOWE CONTRACTORS INC.
Contractor Address: 609 Bailey Ct, Tehachapi, CA 93561
Resident Engineer: Raj Bharathan Structure Rep.: Alex Naime
Sample Information
DIME Sample ID: 2024-04-18-17
TL Number from the TL Form:
Sample Submitted By Organization: CT D09 - Bishop Field Laboratory
Sample Organization Contact: (760) 872-5211
Type of Sample: Verification
Type of Material: Aggregate
Sample Taken Date: 04/18/2024
Date that the sample was received by the laboratory/organization performing the testing: 04/19/2024
The quantity of what the sample constitutes: 1 BAGS
A brief description of the sample: 3/8" Aggregate
From where was the sample collected: Source
Laboratory sample identification: JMF1 RAP1 1708
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Solari plant Granite Arvin
Material Information
Source Identification (SMARA, name of Pit or Job Site): 91-15-0114
The fabricator's/manufacturer's product name for the sample: Solari Granitebel
The fabricator/manufacturer designation for the sample:
The plant number:
A detailed description of where the material sample was collected: belt an chute
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/8 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:
Test Results
Tests Assigned to this Sample
| DIME Test ID | Test Method | Assigned Date | Test Date | Assigned By | Assigned Lab | Test Comments | Assigned To |
| 2024-04-18-17-1 | AASHTO T30-19: Standard Method of Test for Mechanical Analysis of Extracted Aggregate (Mechanical Analysis) | 04/19/2024 | Not scheduled | Joshua Hubartt | CT D09 - Bishop Field Laboratory | | Derek Carrington |
101091
