Project Information

Project ID: 215486 DEA: 040A0204 EFIS: 0400000129 QA Service Level: 1

DIST-CO-RTE-PM: 04-SON-1-15-15.7

Work Description: Construct roadway and bridge with structural concrete and CIDH piling

Location Description: District-County-Route-Post Mile: 04-Son-1-R15.0/R15.7

Contractor Name: BRIDGEWAY CIVIL CONSTRUCTORS, INC.

Contractor Address: 4950 Allison Parkway, # A, Vacaville, CA 95688

Resident Engineer: Fabio La Serna Structure Rep.: Bunma Nou

Sample Information

DIME Sample ID: 2023-02-10-57

TL Number from the TL Form: 861617

Sample Submitted By Organization: CT D04 - Petaluma Field Laboratory

Sample Organization Contact: (510) 385-6841

Type of Sample: Quality Assurance

Type of Material: Reclaimed Asphalt Pavement

Sample Taken Date: 02/10/2023

Date that the sample was received by the laboratory/organization performing the testing: 02/10/2023

The quantity of what the sample constitutes: 1 bag

A brief description of the sample: RAP

From where was the sample collected: Manufacturer

Laboratory sample identification:

Structure unique identifier:

Structure name:

The fabricator/manufacturer/facility name: Bodean - Santa Rosa

Material Information

RAP Source: Bodean Santa Rosa

Aggregate Size: 3/8

Aggregate Source:

RAP Stockpile: Continuous

Stockpile Size (tons):

Reclaimed Asphalt Pavement Mix Number:

Tests Assigned to this Sample

DIME Test ID	Test Method	Assigned Date	Test Date	Assigned By	Assigned Lab	Test Comments	Assigned To
2023-02-10-57-4	AASHTO T308-10: Standard Method of Test for Determining the Asphalt Binder Content of Hot Mix Asphalt (HMA) by the Ignition Method (Method A) (Asphalt Binder Content)	03/03/2023	03/13/2023	Glenn Cea	CT D04 - Petaluma Field Laboratory		Anthony Valdez
2023-02-10-57-5	AASHTO T30-19: Standard Method of Test for Mechanical Analysis of Extracted Aggregate (Mechanical Analysis)	03/03/2023	03/13/2023	Glenn Cea	CT D04 - Petaluma Field Laboratory		Anthony Valdez

Sample Record for 2023-02-10-57

Project Information