Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1001307 DEA: 034J1204 EFIS: 0323000088
QA Service Level: 1
DIST-CO-RTE-PM: 03-YOL-16-37.3/37.8
Work Description: HMA, FLASHING BEACON SYSTEM, AND ROADWAY EXCAVATION.
Location Description: YOLO COUNTY NEAR WOODLAND 0.2 MILE WEST OF COUNTY ROAD 95 TO 0.2 MILE EAST OF COUNTY ROAD 95
Contractor Name: BAY CITIES PAVING & GRADING, INC.
Contractor Address: Unknown
Resident Engineer: Nicholas Sanders Structure Rep.: Unknown
DIME Sample ID: 2026-03-30-4
TL Number from the TL Form:
Sample Submitted By Organization: Blackburn Consulting
Sample Organization Contact: (916) 375-8706
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 03/30/2026
Date that the sample was received by the laboratory/organization performing the testing: 03/30/2026
The quantity of what the sample constitutes: 750 tons
A brief description of the sample: Production Startup Evaluation (3/4" 64-16 HMA SP RAP)
From where was the sample collected: Supplier
Laboratory sample identification: 6276
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Teichert Woodland Plant #206
