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: 2026-05-03-25
TL Number from the TL Form: CON-050326-1
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: 05/03/2026
Date that the sample was received by the laboratory/organization performing the testing: 05/22/2026
The quantity of what the sample constitutes: 1 Bag RAP
A brief description of the sample: 3/4" HMA with 25% RAP
From where was the sample collected: Manufacturer
Laboratory sample identification: D04-SE-26-013
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite Vernalis
DIME Test ID: 2026-05-03-25-1
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.
