Sample Record for 2026-05-12-74
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
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
Sample Information
DIME Sample ID: 2026-05-12-74
TL Number from the TL Form: CON-051226-1
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: Aggregate
Sample Taken Date: 05/12/2026
Date that the sample was received by the laboratory/organization performing the testing: 06/18/2026
The quantity of what the sample constitutes: 3 Bags Combined Aggregate
A brief description of the sample: 1/2" HMA-A + 25% RAP
From where was the sample collected: Manufacturer
Laboratory sample identification: D04-SE-26-016
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Teichert Materials Vernalis
Material Information
Source Identification (SMARA, name of Pit or Job Site): 91-39-0041
The fabricator's/manufacturer's product name for the sample:
The fabricator/manufacturer designation for the sample:
The plant number:
A detailed description of where the material sample was collected: Conveyer Belt-HMA Plant
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 1/2 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number: 302 40442436 P
Test Results
Test
DIME Test ID: 2026-05-12-74-1
Test Method: AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)
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.
Test
DIME Test ID: 2026-05-12-74-2
Test Method: AASHTO T96-02r10: Standard Method of Test for Resistance to Degradation of Small-Size Coarse Aggregate by Abrasion and Impact in the Los Angeles Machine (Los Angeles Rattler)
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.
Test
DIME Test ID: 2026-05-12-74-3
Test Method: AASHTO T304-11: Standard Method of Test for Uncompacted Void Content of Fine Aggregate (Fine of Crushed Particles)
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.
Test
DIME Test ID: 2026-05-12-74-4
Test Method: ASTM D4791-10: Standard Test Method for Flat Particles, Elongated Particles, or Flat and Elongated Particles in Coarse Aggregate (Withdrawn 2019) (Flat and Elongated Particles)
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.
