Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214585 DEA: 042Q0904 EFIS: 0418000417
QA Service Level: 1
DIST-CO-RTE-PM: 04-SOL-80-VAR
Work Description: COLD PLANE AC PAVEMENT, PLACE HMA, AND PERFORM SOIL DENSIFICATION.
Location Description: SOLANO COUNTY AT VARIOUS LOCATIONS
Contractor Name: AMERICAN CIVIL CONSTRUCTORS WEST COAST LLC
Contractor Address: 2990 Bay Vista Court, Benicia, CA 94510
Resident Engineer: Noel Aquino Structure Rep.: Mohan Ayadurai
DIME Sample ID: 2020-04-27-11
TL Number from the TL Form: NA
Sample Submitted By Organization: CT - Unassigned/General Field Laboratory
Sample Organization Contact: 5625005861
Type of Sample: Acceptance
Type of Material: Reclaimed Asphalt Pavement
Sample Taken Date: 04/27/2020
Date that the sample was received by the laboratory/organization performing the testing: 04/27/2020
The quantity of what the sample constitutes: 2 bags
A brief description of the sample: RAP Aggregates
From where was the sample collected: Distributor
Laboratory sample identification: Co_20_078
Structure unique identifier: 48-Solano
Structure name: Route 80 - Various
The fabricator/manufacturer/facility name: Teichert Woodland
RAP Source: Teichert Woodland
Aggregate Size: 12.5 MM RAP
Aggregate Source: Teichert Woodland
RAP Stockpile: Continuous
Stockpile Size (tons): 250 Tons
Reclaimed Asphalt Pavement Mix Number:
DIME Test ID: 2020-04-27-11-1
Test Method: CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates
Submitted By Organization: CT - Unassigned/General Field Laboratory
Organization Address: 5900 Folsom Boulevard, MS 5,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: brett.soldano@dot.ca.gov
Organization Phone: (562) 500-5861
Data has not been verified.
