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Sample Record for 2025-08-18-119

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 994369 DEA: 042K6404 EFIS: 0416000480 QA Service Level: 1
DIST-CO-RTE-PM: 04-SM-84-6.0
Work Description: CONSTRUCT SOLDIER PILE WALL.
Location Description: SAN MATEO COUNTY NEAR LA HONDA 0.2 MILE WEST OF SAN GREGORIO CREEK BRIDGE
Contractor Name: BRIDGEWAY CIVIL CONSTRUCTORS, INC.
Contractor Address: 3333 Vaca Valley Parkway, Suite 2000, Vacaville, CA 95688
Resident Engineer: Fred Booshehri Structure Rep.: Steve Gong

Sample Information

DIME Sample ID: 2025-08-18-119
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: 08/18/2025
Date that the sample was received by the laboratory/organization performing the testing: 08/19/2025
The quantity of what the sample constitutes: 750 Tons
A brief description of the sample: 3/4"RHMA G WMA
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Teichert Woodland

Material Information

HMA Type: RHMA-G
HMA Grading: 3/4 inch
Lot number: 3
Sublot number: 2
HMA Mix Number:
Binder content (%): 0.0
Virgin binder PG:
Design binder PG:
Binder Supplier:
RAP content (%):
WMA Additives:
Antistrip type:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2025-08-18-119-1
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: 02/19/2026
Date Tested: 09/22/2025
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:
Due to test owner's privacy settings, you do not have permission to view this test data.

Test 2 of 2

DIME Test ID: 2025-08-18-119-2
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)
Verified Date: 02/19/2026
Date Tested: 08/27/2025
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:
Due to test owner's privacy settings, you do not have permission to view this test data.