Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1001176 DEA: 042Q5204 EFIS: 0419000021
QA Service Level: 1
DIST-CO-RTE-PM: 04-SOL-29-0.0/6.0
Work Description: HMA PVMT, MOD DRAINAGE, SIGNALS, SIDEWALKS, CURB RAMPS AND LANDSCAPE.
Location Description: SOLANO COUNTY IN VALLEJO FROM 0.2 MILE NORTH OF ROUTE 80/ 29 SEPARATION TO NAPA COUNTY LINE
Contractor Name: BAY CITIES PAVING & GRADING, INC.
Contractor Address: Unknown
Resident Engineer: Tran Quang Structure Rep.: Unknown
DIME Sample ID: 2026-06-18-78
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 Control
Type of Material: Hot Mix Asphalt
Sample Taken Date: 06/18/2026
Date that the sample was received by the laboratory/organization performing the testing: 06/19/2026
The quantity of what the sample constitutes: 4 boxes HMA, 1 Bag Agg
A brief description of the sample: 3/4" HMA Type A
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan LHD
