Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994812 DEA: 042K7204 EFIS: 0417000014
QA Service Level: 1
DIST-CO-RTE-PM: 04-CC-4-R14.3/24.3
Work Description: Pvmt rehabilitation, slab repl, ADA curb ramp and install guardrail.
Location Description: On state highway in Contra Costa County in and near Concord and Pittsburg from 0.3 miles east of Peralta Road Undercrossing to Loveridge Road Overcrossing.
Contractor Name: O.C. Jones & Sons, Inc. (Victor Babbitt)
Contractor Address: 1520 Fourth Street, Berkeley, CA 94710
Resident Engineer: Rabi Mukherjee Structure Rep.: Unknown
DIME Sample ID: 2025-04-17-87
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: 04/17/2025
Date that the sample was received by the laboratory/organization performing the testing: 04/17/2025
The quantity of what the sample constitutes: 173.95
A brief description of the sample: CORES FROM ROADWAY
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: PEI CORES-GRANITE CON.
DIME Test ID: 2025-04-17-87-1
Test Method: AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)
Verified Date: 06/16/2025
Date Tested: 04/22/2025
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
General Comments for this Test:
Test Result Compliance: does not comply
Additional Comments When Verified:
