Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 995520 DEA: 041Y7004 EFIS: 0423000016
QA Service Level: 1
DIST-CO-RTE-PM: 04-CC,SOL-80-13.8/14.1,0.0/0.4
Work Description: AL ZAMPA BRIDGE DECK REHABILITATION REPLACE TOP COURSE
Location Description: CONTRA COSTA AND SOLANO COUNTIES AT CROCKETT AND IN VALLEJO FROM UNION PACIFIC RAILROAD OVERHEAD TO 0.8 MILE SOUTH OF ROUTE 80/29 SEPARATION
Contractor Name: O.C. JONES & SONS, INC.
Contractor Address: 1520 fourth Street, Berkley, CA, 94710
Resident Engineer: Ferdinand Ciceron Structure Rep.: John Parecadan
DIME Sample ID: 2026-08-22-38
TL Number from the TL Form: CDL4-8-22-26-1
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: 08/22/2026
Date that the sample was received by the laboratory/organization performing the testing: 08/28/2026
The quantity of what the sample constitutes: 20 Boxes of HMA
A brief description of the sample: #4 HMA-A + 15.9% RAP
From where was the sample collected: Manufacturer
Laboratory sample identification: D04-SE-26-037
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Martin Mariatta - Clayton
DIME Test ID: 2026-08-22-38-1
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.
