Project Information

Project ID: 993595 DEA: 042Q5504 EFIS: 0419000024 QA Service Level: 1

DIST-CO-RTE-PM: 04-SOL-12-7.9/14.1

Work Description: RHMA OVERLAY, REPLACE CULVERTS, BRIDGE RAILS, AND MEDIAN BARRIERS.

Location Description: SOLANO COUNTY NEAR SUISUN CITY FROM 0.2 MILE EAST OF LAWLER RANCH PARKWAY TO 0.5 MILE EAST OF SHILOH ROAD

Contractor Name: BAY CITIES PAVING & GRADING, INC.

Contractor Address: 1450 Civic Court B#400, Concord, CA 94520

Resident Engineer: Asadullah Sarwary Structure Rep.: Kambiz Kouchesfahani

Sample Information

DIME Sample ID: 2025-10-02-71

TL Number from the TL Form:

Sample Submitted By Organization: CT D04 - Concord Field Laboratory

Sample Organization Contact: (510) 714-7019

Type of Sample: Quality Assurance

Type of Material: Hot Mix Asphalt

Sample Taken Date: 10/02/2025

Date that the sample was received by the laboratory/organization performing the testing: 10/03/2025

The quantity of what the sample constitutes: 750 Tons

A brief description of the sample: 3/4" hma-wma

From where was the sample collected: Manufacturer

Laboratory sample identification:

Structure unique identifier:

Structure name:

The fabricator/manufacturer/facility name: Teichert Woodland

Material Information

HMA Type: Type A HMA

HMA Grading: 3/4 inch

Lot number: 1

Sublot number: 5

HMA Mix Number:

Binder content (%): 0.0

Virgin binder PG:

Design binder PG:

Binder Supplier:

RAP content (%):

WMA Additives:

Antistrip type:

Test Results

Test 1 of 2

DIME Test ID: 2025-10-02-71-1

Test Method: AASHTO T209-25: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)

Verified Date: 02/06/2026

Date Tested: 10/03/2025

Submitted By Organization: CT D04 - Concord Field Laboratory

Organization Address: 2525 Stanwell Drive, Suite 100,

Organization City: Concord

Organization State: CA

Organization Zipcode: 94520

Organization Email: gurind.joshi@dot.ca.gov

Organization Phone: (510) 714-7019

General Comments for this Test:

Test Result Compliance: complies

Additional Comments When Verified:

Number of Samples	1
What is the unit of measurement for theoretical density?	SI Units
Mass Determination	Air
Specific Gravity for Sample 1	2.493
Theoretical maximum density at 25°C (77°F)	2486 kg/m^3

Test 2 of 2

DIME Test ID: 2025-10-02-71-2

Test Method: AASHTO T308-25: Standard Method of Test for Determining the Asphalt Binder Content of Hot Mix Asphalt (HMA) by the Ignition Method (Method A) (Asphalt Binder Content)