Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1001246 DEA: 041Q7214 EFIS: 0423000277
QA Service Level: 1
DIST-CO-RTE-PM: 04-CC,CC,SOL-580,680,780-Var
Work Description: INSTALL FIBER OPTIC CABLE SYSTEM, RAMP METERING, AND WIDEN ROADWAY.
Location Description: ALAMEDA, CONTRA COSTA AND SOLANO COUNTIES AT VARIOUS LOCATIONS
Contractor Name: BAY CITIES PAVING & GRADING, INC.
Contractor Address: Unknown
Resident Engineer: Eddie Dike Structure Rep.: John parecadan
DIME Sample ID: 2026-08-17-75
TL Number from the TL Form: Sacramento Caltrans lab
Sample Submitted By Organization: Kwik Bond Polymers
Sample Organization Contact: (760) 518-6064
Type of Sample: Quality Control
Type of Material: High Friction Surface Treatment
Sample Taken Date: 08/17/2026
Date that the sample was received by the laboratory/organization performing the testing: 08/18/2026
The quantity of what the sample constitutes: 2 Tankers
A brief description of the sample: 1 gallon can / HFST RESIN
From where was the sample collected: Source
Laboratory sample identification: 000223KBP
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Kwik Bond Polymers, Benicia
