Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 995174 DEA: 043W5604 EFIS: 0421000388
QA Service Level: 1
DIST-CO-RTE-PM: 04-SOL-12,80,680-Var
Work Description: POLYESTER CONCRETE OVERLAY.
Location Description: SOLANO COUNTY AT VARIOUS LOCATIONS
Contractor Name: MYERS & SONS CONSTRUCTION, LLC
Contractor Address: 45 Morrison ave, Sacramento, CA 95838
Resident Engineer: Justen Tatum Structure Rep.: Kambiz Kouchesfahani
DIME Sample ID: 2025-08-06-92
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - Hayward Field Laboratory
Sample Organization Contact: (510) 723-0168
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 08/06/2025
Date that the sample was received by the laboratory/organization performing the testing: 08/11/2025
The quantity of what the sample constitutes: 100Tons
A brief description of the sample: 3/4"HMA-R25-WMA
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Vallejo
DIME Test ID: 2025-08-06-92-10
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 - Hayward Field Laboratory
Organization Address: 21339 Cabot Boulevard,
Organization City: Hayward
Organization State: CA
Organization Zipcode: 94545
Organization Email: pamela.brown@dot.ca.gov
Organization Phone: (510) 385-8258
Data has not been verified.
DIME Test ID: 2025-08-06-92-11
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 - Hayward Field Laboratory
Organization Address: 21339 Cabot Boulevard,
Organization City: Hayward
Organization State: CA
Organization Zipcode: 94545
Organization Email: pamela.brown@dot.ca.gov
Organization Phone: (510) 385-8258
Data has not been verified.