Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994369 DEA: 042K6404 EFIS: 0416000480
QA Service Level: 1
DIST-CO-RTE-PM: 04-SM-84-6.0
Work Description: CONSTRUCT SOLDIER PILE WALL.
Location Description: SAN MATEO COUNTY NEAR LA HONDA 0.2 MILE WEST OF SAN GREGORIO CREEK BRIDGE
Contractor Name: BRIDGEWAY CIVIL CONSTRUCTORS, INC.
Contractor Address: 3333 Vaca Valley Parkway, Suite 2000, Vacaville, CA 95688
Resident Engineer: Fred Booshehri Structure Rep.: Steve Gong
DIME Sample ID: 2025-05-07-108
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: 05/07/2025
Date that the sample was received by the laboratory/organization performing the testing: 05/21/2025
The quantity of what the sample constitutes: 750 Tons
A brief description of the sample: cores
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Teichert Woodland
DIME Test ID: 2025-05-07-108-1
Test Method: AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)
Verified Date: 06/26/2025
Date Tested: 05/21/2025
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:
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Percent Air Voids
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5 %
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Percent Air Voids 2
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6.2 %
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Percent Air Voids 3
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7.2 %
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Average Percent Air Voids
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6.1 %
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Average Core Density
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93.9 %
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