Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1001245 DEA: 040AA624 EFIS: 0419000518
QA Service Level: 1
DIST-CO-RTE-PM: 04-SF-1-0.9/5.8
Work Description: COLD PLANE AC PVMT, HMA (TYPE A) AND INDIVIDUAL SLAB REPLACEMENT.
Location Description: THE CITY AND COUNTY OF SAN FRANCISCO FROM HOLLOWAY AVENUE TO CALIFORNIA STREET
Contractor Name: GRANITE ROCK COMPANY
Contractor Address: Unknown
Resident Engineer: Charles koos Structure Rep.: Chetan Sihra
DIME Sample ID: 2026-04-24-88
TL Number from the TL Form: CPL042426B
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: 04/24/2026
Date that the sample was received by the laboratory/organization performing the testing: 04/24/2026
The quantity of what the sample constitutes: 1 Bags RAP
A brief description of the sample: 1/2 HMA + 15% RAP
From where was the sample collected: Supplier
Laboratory sample identification: D04-SE-26-008
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Peninsula Road Materials-RC
DIME Test ID: 2026-04-24-88-1
Test Method: AASHTO T209-25: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)
Submitted By Organization: CT D04 - Hayward DME / District Laboratory
Organization Address: 111 Grand Avenue,
Organization City: Oakland
Organization State: CA
Organization Zipcode: 94623
Organization Email: mohammad.dehghan@dot.ca.gov
Organization Phone: (510) 286-4717
Data has not been verified.
