Sample Record for 2025-08-14-142
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 993333 DEA: 04264724 EFIS: 0419000068
QA Service Level: 1
DIST-CO-RTE-PM: 04-MRN-101-R20.8/27.1
Work Description: CIP BRIDGES, CONSTRUCT ROADWAY, RETAINING WALLS AND MODIFY ELECTRICAL.
Location Description: MARIN COUNTY IN AND NEAR NOVATO FROM 0.1 MILE SOUTH OF FRANKLIN AVENUE OVERHEAD TO 0.5 MILE SOUTH OF SAN ANTONIO CREEK BRIDGE
Contractor Name: GHILOTTI CONSTRUCTION CO. INC. (RILEY GENAZZI & JOSH SERAFINO)
Contractor Address: 246 GHILOTTI AVE., SANTA ROSA, CA 95407
Resident Engineer: Fabio La Serna Structure Rep.: Jeremy Light
Sample Information
DIME Sample ID: 2025-08-14-142
TL Number from the TL Form: 100591-100592
Sample Submitted By Organization: CT D04 - Hayward DME / District Laboratory
Sample Organization Contact: (510) 507-3456
Type of Sample: Production Start-Up
Type of Material: Aggregate
Sample Taken Date: 08/14/2025
Date that the sample was received by the laboratory/organization performing the testing: 09/08/2025
The quantity of what the sample constitutes: 2 Bags per bin#1-3
A brief description of the sample: 1/2" HMA+15% RAP
From where was the sample collected: Manufacturer
Laboratory sample identification: D04-SE-25-053
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: BoDean Company
Material Information
Source Identification (SMARA, name of Pit or Job Site): 91-49-0032, 91-49-0043
The fabricator's/manufacturer's product name for the sample:
The fabricator/manufacturer designation for the sample:
The plant number:
A detailed description of where the material sample was collected: Aggregate Hot Bins
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 1/2 inch
The concrete mix design number:
Lot number: 1
Sublot number: 20
Aggregate Mix Number: 600SPW16
Test Results
Test 1 of 4
DIME Test ID: 2025-08-14-142-1
Test Method: ASTM D4791-10: Standard Test Method for Flat Particles, Elongated Particles, or Flat and Elongated Particles in Coarse Aggregate (Withdrawn 2019) (Flat and Elongated Particles)
Submitted By Organization: BSK Associates
Organization Address: 399 Lindbergh Avenue,
Organization City: Livermore
Organization State: CA
Organization Zipcode: 94551
Organization Email: cmelo@bskassociates.com
Organization Phone: (925) 765-9483
Data has not been verified.
Test 2 of 4
DIME Test ID: 2025-08-14-142-2
Test Method: AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)
Submitted By Organization: BSK Associates
Organization Address: 399 Lindbergh Avenue,
Organization City: Livermore
Organization State: CA
Organization Zipcode: 94551
Organization Email: cmelo@bskassociates.com
Organization Phone: (925) 765-9483
Data has not been verified.
Test 3 of 4
DIME Test ID: 2025-08-14-142-3
Test Method: AASHTO T304-11: Standard Method of Test for Uncompacted Void Content of Fine Aggregate (Fine of Crushed Particles)
Submitted By Organization: BSK Associates
Organization Address: 399 Lindbergh Avenue,
Organization City: Livermore
Organization State: CA
Organization Zipcode: 94551
Organization Email: cmelo@bskassociates.com
Organization Phone: (925) 765-9483
Data has not been verified.
Test 4 of 4
DIME Test ID: 2025-08-14-142-4
Test Method: AASHTO T96-02r10: Standard Method of Test for Resistance to Degradation of Small-Size Coarse Aggregate by Abrasion and Impact in the Los Angeles Machine (Los Angeles Rattler)
Submitted By Organization: BSK Associates
Organization Address: 399 Lindbergh Avenue,
Organization City: Livermore
Organization State: CA
Organization Zipcode: 94551
Organization Email: cmelo@bskassociates.com
Organization Phone: (925) 765-9483
Data has not been verified.
