Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 210094 DEA: 040G3604 EFIS: 0400000326 COOP: 042553A1,042981
QA Service Level: 1
DIST-CO-RTE-PM: 04-ALA-880,880-31.0/32.4
Work Description: I-880 BROADWAY/ JACKSON INTERCHANGE: Modify Ramps, Hma Pvmt, Bridges, Drainage, Signals, Sw And Bikeway
Location Description: IN ALA COUNTY
Contractor Name: BAY CITIES PAVING & GRADING, INC.
Contractor Address: 1450 Civic Ct. Bbld. B, Suit 400, Concord CA, 94520
Resident Engineer: cecilia Zamora Structure Rep.: Kristen Wu
DIME Sample ID: 2026-03-18-39
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - San Jose Construction Field Laboratory
Sample Organization Contact: (510) 385-8171
Type of Sample: Quality Assurance
Type of Material: Soil
Sample Taken Date: 03/18/2026
Date that the sample was received by the laboratory/organization performing the testing: 03/18/2026
The quantity of what the sample constitutes: 2700 grams
A brief description of the sample: Subgrade
From where was the sample collected: Job Site
Laboratory sample identification: SJ-031826-SG5
Structure unique identifier:
Structure name: 5th St. & Oak St. Oakland, Ca. NE Corner Rt."OAK" Line, Curb Ramp #5
The fabricator/manufacturer/facility name: Native material
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: Jobsite - Compacted Native Subgrade backfill
Where the material sample would have been placed if not sampled:
DIME Test ID: 2026-03-18-39-1
Test Method: CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear Gages
Submitted By Organization: CT D04 - San Jose Construction Field Laboratory
Organization Address: 1007 Knox Avenue,
Organization City: San Jose
Organization State: CA
Organization Zipcode: 95122
Organization Email: fernando.vega@dot.ca.gov
Organization Phone: (510) 385-8171
Data has not been verified.
DIME Test ID: 2026-03-18-39-2
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
Submitted By Organization: CT D04 - San Jose Construction Field Laboratory
Organization Address: 1007 Knox Avenue,
Organization City: San Jose
Organization State: CA
Organization Zipcode: 95122
Organization Email: fernando.vega@dot.ca.gov
Organization Phone: (510) 385-8171
Data has not been verified.
