Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 209820 DEA: 04297634 EFIS: 0415000040 COOP: 042548
QA Service Level: 1
DIST-CO-RTE-PM: 04-ALA-84,680-17.9/21
Work Description: ROUTE 84 WIDENING (4-LANE EXPRESSWAY) FROM I-680 TO PIGEON PASS, INCLUDING INTERSECTION, DRAINAGE IMPROVEMENTS AND UTILITY RELOCATION.
Location Description: ALAMEDA COUNTY IN AND NEAR SUNOL, PLEASANTON, AND LIVERMORE ON ROUTE 84 FROM 0.1 MILE EAST OF ROUTE 680 TO 0.1 MILE SOUTH OF RUBY HILL DRIVE AND ON ROUTE 680 FROM 1.2 MILES SOUTH TO 1.8 MILES NORTH OF ROUTE 84
Contractor Name: Bay Cities Paving & Grading
Contractor Address: 1450 Civic Ct. BLDG B #400, Concord CA, 94520
Resident Engineer: Paramjit Pandher Structure Rep.: Kristen We
DIME Sample ID: 2024-12-06-47
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - San Jose Construction Field Laboratory
Sample Organization Contact: (510) 385-8171
Type of Sample: Quality Assurance
Type of Material: Soil
Sample Taken Date: 12/06/2024
Date that the sample was received by the laboratory/organization performing the testing: 12/04/2024
The quantity of what the sample constitutes: 2500g
A brief description of the sample: CL 2 Aggregate Base
From where was the sample collected: Job Site
Laboratory sample identification: SJ-120624-SBF1
Structure unique identifier:
Structure name: Connector Separation Bridge N84-N680/84 (Flyover) at Abutment #1
The fabricator/manufacturer/facility name: Martin Marietta Sunol
The fabricator's/manufacturer's product name for the sample: Martin Marietta Sunol Plant
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: jobsite - compacted base
Where the material sample would have been placed if not sampled:
