Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 66667 DEA: JMFPP EFIS: 0019000043
QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for submitting Sample information for JMF Prequalification Program.
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown
DIME Sample ID: 2022-01-19-36
TL Number from the TL Form:
Sample Submitted By Organization: CT SC - 3675 - Fresno 2
Sample Organization Contact: (559) 304-3318
Type of Sample: Informational
Type of Material: Hot Mix Asphalt
Sample Taken Date: 01/19/2022
Date that the sample was received by the laboratory/organization performing the testing: 01/19/2022
The quantity of what the sample constitutes: 24 boxes
A brief description of the sample: 1/2" HMA Type A
From where was the sample collected: Source
Laboratory sample identification: 023-006
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite - Bradshaw
DIME Test ID: 2022-01-19-36-1
Test Method: ASTM D8225-19: Standard Test Method For Determination Of Cracking Tolerance Index Of Asphalt Mixture Using The Indirect Tensile Cracking Test At Intermediate Temperature
Submitted By Organization: CT SC - 3675 - Fresno 2
Organization Address: 3240 North Millbrook Avenue,
Organization City: Fresno
Organization State: CA
Organization Zipcode: 93726
Organization Email: nathan.quiroz@dot.ca.gov
Organization Phone: (559) 304-3318
Data has not been verified.
DIME Test ID: 2022-01-19-36-3
Test Method: ASTM D8360-22: Standard Test Method for Determination of Rutting Tolerance Index of Asphalt Mixture Using the Ideal Rutting Test (Rutting Tolerance)
Submitted By Organization: CT SC - 3675 - Fresno 2
Organization Address: 3240 North Millbrook Avenue,
Organization City: Fresno
Organization State: CA
Organization Zipcode: 93726
Organization Email: nathan.quiroz@dot.ca.gov
Organization Phone: (559) 304-3318
Data has not been verified.
