Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1001176 DEA: 042Q5204 EFIS: 0419000021
QA Service Level: 1
DIST-CO-RTE-PM: 04-SOL-29-0.0/6.0
Work Description: HMA PVMT, MOD DRAINAGE, SIGNALS, SIDEWALKS, CURB RAMPS AND LANDSCAPE.
Location Description: SOLANO COUNTY IN VALLEJO FROM 0.2 MILE NORTH OF ROUTE 80/ 29 SEPARATION TO NAPA COUNTY LINE
Contractor Name: BAY CITIES PAVING & GRADING, INC.
Contractor Address: Unknown
Resident Engineer: Tran Quang Structure Rep.: Unknown
DIME Sample ID: 2026-03-20-6
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: Soil
Sample Taken Date: 03/20/2026
Date that the sample was received by the laboratory/organization performing the testing: 03/20/2026
The quantity of what the sample constitutes: ~ 50 sqyd
A brief description of the sample: AB2
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: County Asphalt
The fabricator's/manufacturer's product name for the sample:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: L2-Curtola
Where the material sample would have been placed if not sampled:
