Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 995262 DEA: 041Q4604 EFIS: 0418000279
QA Service Level: 1
DIST-CO-RTE-PM: 04-SCL-280-0/2.7
Work Description: RHMA-G SURFACING AND CONSTRUCT BRIDGE APPROACH.
Location Description: SANTA CLARA COUNTY IN SAN JOSE FROM ROUTE 280/680/101 SEPARATION TO 0.2 MILE WEST OF BIRD AVENUE OVERCROSSING
Contractor Name: O.C. JONES & SONS, INC.
Contractor Address: 1520 4th Street, Berkeley, CA 94710
Resident Engineer: Nim Patel Structure Rep.: Unknown
DIME Sample ID: 2025-10-06-97
TL Number from the TL Form: SJ-100625-1
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: 10/06/2025
Date that the sample was received by the laboratory/organization performing the testing: 11/07/2025
The quantity of what the sample constitutes: 22 Boxes RHMA
A brief description of the sample: 3/4" RHMA-G
From where was the sample collected: Source
Laboratory sample identification: D04-SE-25-080
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Martin Marietta Sunol Drum Plant
