Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000017 DEA: 042Q7004 EFIS: 0419000040
QA Service Level: 1
DIST-CO-RTE-PM: 04-CC-4-L0.0/R14.3
Work Description: REPLACE ASPHALT CONCRETE SURFACING AND INSTALL MGS.
Location Description: CONTRA COSTA COUNTY IN HERCULES AND CONCORD FROM SAN PABLO AVENUE TO ROUTE 4/242 SEPARATION
Contractor Name: BAY CITIES PAVING & GRADING, INC.
Contractor Address: Unknown
Resident Engineer: Rabindra Mukherjee Structure Rep.: John K. Parecadan
DIME Sample ID: 2025-04-16-86
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - Concord Field Laboratory
Sample Organization Contact: (510) 714-7019
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 04/16/2025
Date that the sample was received by the laboratory/organization performing the testing: 04/16/2025
The quantity of what the sample constitutes: 4 BOXES
A brief description of the sample: 3/4" HMA-WMA
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Dutra Richmond
DIME Test ID: 2025-04-16-86-13
Test Method: AASHTO T209-12: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)
Submitted By Organization: CT D04 - Concord Field Laboratory
Organization Address: 2525 Stanwell Drive, Suite 100,
Organization City: Concord
Organization State: CA
Organization Zipcode: 94520
Organization Email: gurind.joshi@dot.ca.gov
Organization Phone: (510) 714-7019
Data has not been verified.
DIME Test ID: 2025-04-16-86-14
Test Method: AASHTO T308-10: Standard Method of Test for Determining the Asphalt Binder Content of Hot Mix Asphalt (HMA) by the Ignition Method (Method A) (Asphalt Binder Content)
Submitted By Organization: CT D04 - Concord Field Laboratory
Organization Address: 2525 Stanwell Drive, Suite 100,
Organization City: Concord
Organization State: CA
Organization Zipcode: 94520
Organization Email: gurind.joshi@dot.ca.gov
Organization Phone: (510) 714-7019
Data has not been verified.