Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 995125 DEA: 101E3004 EFIS: 1018000273
QA Service Level: 1
DIST-CO-RTE-PM: 10-SJ-5-32.5/49.8
Work Description: REMOVE EXISTING PAVEMENT AND REPLACE WITH CONCRETE PAVEMENT.
Location Description: SAN JOAQUIN COUNTY IN AND NEAR STOCKTON FROM 0.2 MILE SOUTH OF HAMMER LANE UNDERCROSSING TO SACRAMENTO COUNTY LINE
Contractor Name: BAY CITIES PAVING & GRADING, INC.
Contractor Address: 1450 Civic Court, Building B #400, Concord, CA 95351
Resident Engineer: Ariel Mendoza Structure Rep.: Unknown
DIME Sample ID: 2025-07-17-16
TL Number from the TL Form:
Sample Submitted By Organization: CT SC - 3665 - Stockton
Sample Organization Contact: (916) 416-7793
Type of Sample: Acceptance
Type of Material: Roadway/Bridge Surface
Sample Taken Date: 07/17/2025
Date that the sample was received by the laboratory/organization performing the testing: 07/17/2025
The quantity of what the sample constitutes: skid testing
A brief description of the sample: CTM 342
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier: 29-0209, 29-0200, 29-0177, 29-0199, 29-0212
Structure name: Hwy 5 SB Stockton
The fabricator/manufacturer/facility name: Bay Cities
Pavement Surface Type: PCC (Portland Cement Concrete)
Type of Traffic Control Provided: Behind K-Rail/Barrier
DIST-CO-RTE: 10-SJ-5-32.5/49.8
Direction of Travel: South
Post Mile: 1966.00
Lanes to be Tested: Lane #2
Station:
