Project Information

Project ID: 209109 DEA: 043G9004 EFIS: 0412000557 COOP: 042513 QA Service Level: 1

DIST-CO-RTE-PM: 04-SON-116,121-46.0/46.7,5.8/R7.4

Work Description: MODIFY EXISTING STATE ROUTE 116,121 BONNEAU ROAD INTERSECTION FROM A 4 WAY STOP CONTROLLED INTERSECTION TO A ROUNDABOUT AND SIGNALIZED INTERSECTION.

Location Description: SONOMA COUNTY

Contractor Name: O.C. JONES & SONS, INC.

Contractor Address: 1520 Fourth Street, Berkeley, CA 94710

Resident Engineer: Fabio La Serna Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2025-09-16-121

TL Number from the TL Form:

Sample Submitted By Organization: CT D04 - Petaluma Field Laboratory

Sample Organization Contact: (510) 385-6841

Type of Sample: Acceptance

Type of Material: Aggregate

Sample Taken Date: 09/16/2025

Date that the sample was received by the laboratory/organization performing the testing: 09/17/2025

The quantity of what the sample constitutes: 100 Tons

A brief description of the sample: 1/2 HMA

From where was the sample collected: Manufacturer

Laboratory sample identification:

Structure unique identifier:

Structure name:

The fabricator/manufacturer/facility name: Vulcan Napa Plant

Material Information

Source Identification (SMARA, name of Pit or Job Site): Vulcan napa

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: 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:

Sublot number:

Aggregate Mix Number:

Test Results

Test 1 of 1

DIME Test ID: 2025-09-16-121-3

Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)

Submitted By Organization: CT D04 - Petaluma Field Laboratory

Organization Address: 5675 Gibraltar Drive,

Organization City: Pleasanton

Organization State: CA

Organization Zipcode: 94588

Organization Email: glenn.cea@dot.ca.gov

Organization Phone: (510) 385-6841

Data has not been verified.

Tests Assigned to this Sample