Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1001220 DEA: 040X6604 EFIS: 0424000154
QA Service Level: 1
DIST-CO-RTE-PM: 04-ALA-84-R21.4/R23.1
Work Description: COLD PLANE AC PAVEMENT AND OVERLAY WITH RHMA-G.
Location Description: ALAMEDA COUNTY IN AND NEAR PLEASANTON AND LIVERMORE FROM 0.1 MILE SOUTH OF VEHICLE UNDERCROSSING SOUTH TO 0.1 MILE SOUTH OF RUBY HILL DRIVE
Contractor Name: BAY CITIES PAVING & GRADING, INC.
Contractor Address: Unknown
Resident Engineer: Paramjit Pandher Structure Rep.: Unknown
DIME Sample ID: 2025-10-06-95
TL Number from the TL Form: PL100625
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: 10/06/2025
Date that the sample was received by the laboratory/organization performing the testing: 10/30/2025
The quantity of what the sample constitutes: 8 Boxes RHMA-G
A brief description of the sample: 3/4" RHMA-G
From where was the sample collected: Manufacturer
Laboratory sample identification: D04-SE-25-075
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Teichert Materials - Vernalis
