Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1001221 DEA: 040X7604 EFIS: 0424000164
QA Service Level: 1
DIST-CO-RTE-PM: 04-SOL-113-18.3/21.2
Work Description: COLD PLANE AC PAVEMENT, PLACE HMA AND OVERLAY WITH SLURRY SEAL.
Location Description: SOLANO COUNTY IN AND NEAR DIXON FROM PARKWAY BOULEVARD TO ROUTE 113/80 SEPARATION
Contractor Name: DOOLITTLE CONSTRUCTION, LLC DBA DOOLITTLE ROAD CONSTRUCTION
Contractor Address: Unknown
Resident Engineer: Asadullah Sarwary Structure Rep.: Unknown
DIME Sample ID: 2025-09-11-72
TL Number from the TL Form: CON-091125-1
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: Hot Mix Asphalt
Sample Taken Date: 09/11/2025
Date that the sample was received by the laboratory/organization performing the testing: 09/30/2025
The quantity of what the sample constitutes: 16 Boxes HMA
A brief description of the sample: 3/4" HMA-SP + 15% RAP
From where was the sample collected: Manufacturer
Laboratory sample identification: D04-SE-25-066
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Teichert Woodland Batch Plant
