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Sample Record for 2025-07-10-123

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 1000101 DEA: 081J2904 EFIS: 0818000015 QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-215-25.0/R31.2
Work Description: RHMA, HMA, REPLACE AC SURFACING, AND COLD PLANE AC PVMT.
Location Description: RIVERSIDE COUNTY IN AND NEAR PERRIS FROM 0.1 MILE SOUTH OF SAN JACINTO RIVER BRIDGE TO 0.3 MILE NORTH OF RAMONA EXPRESSWAY
Contractor Name: COFFMAN SPECIALTIES, INC.
Contractor Address: 9685 Via Excelencia, Suite 200, San Diego, CA 92126
Resident Engineer: Mohamad Alsheikh Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2025-07-10-123
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Sample Organization Contact: 9512323690
Type of Sample: Acceptance
Type of Material: Aggregate
Sample Taken Date: 07/10/2025
Date that the sample was received by the laboratory/organization performing the testing: 07/11/2025
The quantity of what the sample constitutes: 223.26 Tons @ 21:32
A brief description of the sample: 3/4" HMA-A R25 PG70-10 (PG64-16 : Virgin)
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Martin Marietta - Lake Elsinore

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-33-0098
The fabricator's/manufacturer's product name for the sample:
The fabricator/manufacturer designation for the sample:
The plant number:
A detailed description of where the material sample was collected: Belt Cut at Martin Marietta Lake Elsinore Plant
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number: 53417195
Test results on following page(s): 3

Test Results

Test 1 of 3

DIME Test ID: 2025-07-10-123-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Verified Date: 10/16/2025
Date Tested: 07/15/2025
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test: Sample #1
Test Result Compliance: complies
Additional Comments When Verified:
What type of gradation is being tested? HMA Gradation
Cumulative percent passing the 2 in. sieve 100 %
Cumulative percent passing the 1 1/2 in. sieve 100 %
Cumulative percent passing the 1 in. sieve 100 %
Cumulative percent passing the 3/4 in. sieve 97 %
Cumulative percent passing the 1/2 in. sieve 89 %
Cumulative percent passing the 3/8 in. sieve 79 %
Cumulative percent passing the #4 sieve 52 %
Cumulative percent passing the #8 sieve 42 %
Cumulative percent passing the #16 sieve 29 %
Cumulative percent passing the #30 sieve 21 %
Cumulative percent passing the #50 sieve 14 %
Cumulative percent passing the #100 sieve 9 %
Cumulative percent passing the #200 sieve 5.9 %

Test 2 of 3

DIME Test ID: 2025-07-10-123-2
Test Method: AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent)
Verified Date: 10/16/2025
Date Tested: 07/15/2025
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test: Sample #1
Test Result Compliance: complies
Additional Comments When Verified:
Sand Equivalent 67

Test 3 of 3

DIME Test ID: 2025-07-10-123-3
Test Method: AASHTO T255-0: Standard Method of Test for Total Evaporable Moisture Content of Aggregate by Drying
Verified Date: 10/16/2025
Date Tested: 07/15/2025
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test: Sample #1
Test Result Compliance:
Additional Comments When Verified:
Total evaporable moisture content 1.1 %