Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994871 DEA: 040Q1304 EFIS: 0418000053
QA Service Level: 1
DIST-CO-RTE-PM: 04-SM-1-27.5
Work Description: COLD PLANE AC, PLACE HMA, MODIFY SIGNAL AND LIGHTING SYSTEM.
Location Description: SAN MATEO COUNTY IN AND NEAR HALF MOON BAY FROM WAVECREST ROAD TO 0.1 MILE SOUTH OF MARINE BOULEVARD
Contractor Name: O.C. JONES & SONS, INC.
Contractor Address: Unknown
Resident Engineer: Chetan Sihra Structure Rep.: Abbas Iranmanesh
DIME Sample ID: 2026-05-14-86
TL Number from the TL Form: SJ-051426-1
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: 05/14/2026
Date that the sample was received by the laboratory/organization performing the testing: 05/15/2026
The quantity of what the sample constitutes: 2 Bags RAP
A brief description of the sample: 3/4" HMA-A + 15% RAP
From where was the sample collected: Manufacturer
Laboratory sample identification: D04-SE-26-020
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Peninsula Road Materials
DIME Test ID: 2026-05-14-86-1
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.
