Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000017 DEA: 042Q7004 EFIS: 0419000040
QA Service Level: 1
DIST-CO-RTE-PM: 04-CC-4-L0.0/R14.3
Work Description: REPLACE ASPHALT CONCRETE SURFACING AND INSTALL MGS.
Location Description: CONTRA COSTA COUNTY IN HERCULES AND CONCORD FROM SAN PABLO AVENUE TO ROUTE 4/242 SEPARATION
Contractor Name: BAY CITIES PAVING & GRADING, INC.
Contractor Address: Unknown
Resident Engineer: Rabindra Mukherjee Structure Rep.: John K. Parecadan
DIME Sample ID: 2026-02-26-54
TL Number from the TL Form: CON-022626-1
Sample Submitted By Organization: CT D04 - Hayward DME / District Laboratory
Sample Organization Contact: (510) 507-3456
Type of Sample: Production Start-Up
Type of Material: Reclaimed Asphalt Pavement
Sample Taken Date: 02/26/2026
Date that the sample was received by the laboratory/organization performing the testing: 03/25/2026
The quantity of what the sample constitutes: 1 Bags RAP
A brief description of the sample: 3/4" HMA-A +15%RAP
From where was the sample collected: Manufacturer
Laboratory sample identification: D04-SE-26-005
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Dutra Richmond
