Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993825 DEA: 040Q30U4 EFIS: 0420000235 COOP: 042830A3,042830A4
QA Service Level: 1
DIST-CO-RTE-PM: 04-ALA,CC-680-R11.0/R21.9,R0.0/R0.9
Work Description: PRECAST CONC PVMT, ELECTRONIC TOLL SYSTEM, JPCP, CB & STRUCTURAL CONC
Location Description: ALAMEDA AND CONTRA COSTA COUNTIES AT SUNOL AND IN SAN RAMON BETWEEN 0.4 MILE SOUTH OF CALAVERAS ROAD UNDERCROSSING TO 0.9 MILE NORTH OF ALCOSTA BOULEVARD OVERCROSSING
Contractor Name: BAY CITIES PAVING & GRADING (Jason Ochoa)
Contractor Address: 1450 CIVIC CT, BLDG B #400, CONCORD, CA 94520
Resident Engineer: Yannaing Tun Structure Rep.: Unknown
DIME Sample ID: 2025-07-17-146
TL Number from the TL Form: CPL071725
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: 07/17/2025
Date that the sample was received by the laboratory/organization performing the testing: 08/01/2025
The quantity of what the sample constitutes: 16 Boxes RHMA-G
A brief description of the sample: 1/2"RHMA-G
From where was the sample collected: Source
Laboratory sample identification: D04-SE-25-047
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Pleasanton