Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000346 DEA: 081N6904 EFIS: 0823000037
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-15-36.6/37.0
Work Description: HMA, ROADWAY EXCAVATION, CLASS 2 AB, REMOVE BASE & SURFACING, RHMA.
Location Description: RIVERSIDE COUNTY IN CORONA FROM 0.2 MILE SOUTH TO 0.2 MILE NORTH OF CAJALCO ROAD OVERCROSSING
Contractor Name: SPLICE CONSTRUCTION CO, INC.
Contractor Address: Unknown
Resident Engineer: Xavier Avila Structure Rep.: Unknown
DIME Sample ID: 2025-05-17-11
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Production Start-Up
Type of Material: Hot Mix Asphalt
Sample Taken Date: 05/17/2025
Date that the sample was received by the laboratory/organization performing the testing: 05/21/2025
The quantity of what the sample constitutes: 24 BX RWMA 2 BG CMB AGG 1BG CRM RBR 1 BG HN 1 QT PG64-16 1 QT RBR BLND
A brief description of the sample: 1/2" RWMA G SP 0.25% EVO
From where was the sample collected: Manufacturer
Laboratory sample identification: 0301G-25
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Corona
