Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1001941 DEA: 040V5104 EFIS: 0426000263
QA Service Level: 1
DIST-CO-RTE-PM: 04-SON--unknown
Work Description:
Location Description:
Contractor Name: Pacific Coast Drilling Co., Inc.
Contractor Address: 364 Bellevue Ave., Santa Rosa 95407
Resident Engineer: Leonard Brajnikoff Structure Rep.: nick Abuhamdieh
DIME Sample ID: 2026-09-03-5
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - Richmond Field Laboratory
Sample Organization Contact: (510) 385-7413
Type of Sample: Quality Assurance
Type of Material: Soil
Sample Taken Date: 09/03/2026
Date that the sample was received by the laboratory/organization performing the testing: 01/29/2026
The quantity of what the sample constitutes: 1 bag
A brief description of the sample: Baserock
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Canyon Rock Material
The fabricator's/manufacturer's product name for the sample:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Jobsite
Where the material sample would have been placed if not sampled:
DIME Test ID: 2026-09-03-5-1
Test Method: CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear Gages
Submitted By Organization: CT D04 - Richmond Field Laboratory
Organization Address: 3401 Regatta Blvd.,
Organization City: Richmond
Organization State: CA
Organization Zipcode: 94804
Organization Email: ignacio.arechiga@dot.ca.gov
Organization Phone: (510) 385-7413
Data has not been verified.
