Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1001683 DEA: 040AA194 EFIS: 0419000450
QA Service Level: 1
DIST-CO-RTE-PM: 04-CC-4-R29.0/R44.4
Work Description: COLD PLANE AC PVMT, RHMA-G & HMA OVERLAY, REPLACE AC SURF, & MGS.
Location Description: CONTRA COSTA COUNTY IN ANTIOCH AND AT BYRON FROM HILLCREST AVENUE OVERCROSSING TO BYRON HIGHWAY
Contractor Name: GHILOTTI BROS INC
Contractor Address: 523 JACOBY ST, SAN RAFAEL, CA 94901
Resident Engineer: Steven Lee Structure Rep.: Unknown
DIME Sample ID: 2026-05-07-65
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: 05/07/2026
Date that the sample was received by the laboratory/organization performing the testing: 05/11/2026
The quantity of what the sample constitutes: 2 boxes
A brief description of the sample: 3/4" WMA-RAP25%
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite Vernalis
DIME Test ID: 2026-05-07-65-1
Test Method: AASHTO T30-25: Standard Method of Test for Mechanical Analysis of Extracted Aggregate (Mechanical Analysis)
Verified Date: 05/29/2026
Date Tested: 05/11/2026
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: Sieve 200 is above the operating range
Test Result Compliance: does not comply
Additional Comments When Verified:
|
Is an aggregate correction factor used?
|
No
|
