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Sample Record for 2025-10-15-39

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Project Information

Project ID: 995493 DEA: 081G6704 EFIS: 0816000049 QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-79-5.4/11.4
Work Description: HOT MIX ASPHALT, SOIL NAIL, STRUCTURAL CONCRETE AND ROADWAY EXC.
Location Description: RIVERSIDE COUNTY NEAR TEMECULA FROM 0.4 MILE SOUTH OF SAGE ROAD TO 1.1 MILES SOUTH OF PAUBA ROAD
Contractor Name: ORTIZ ENTERPRISES, INC.
Contractor Address: 6 CUSHING STE 200, IRVINE, CA 92618
Resident Engineer: Osama Abdalla Structure Rep.: Arnel Vega

Sample Information

DIME Sample ID: 2025-10-15-39
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: Hot Mix Asphalt
Sample Taken Date: 10/15/2025
Date that the sample was received by the laboratory/organization performing the testing: 10/24/2025
The quantity of what the sample constitutes: 1 box, 6 cores
A brief description of the sample: 3/4" HMA A SP
From where was the sample collected: Job Site
Laboratory sample identification: 2A1, 2B1, 2C1, 2A2, 2B2, 2C2
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Martin Marietta — Lake Elsinore

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number:
Sublot number:
HMA Mix Number: 53417195
Binder content (%): 0.0
Virgin binder PG:
Design binder PG:
Binder Supplier:
RAP content (%):
WMA Additives:
Antistrip type:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2025-10-15-39-2
Test Method: AASHTO T275-07r12: Standard Method of Test for Bulk Specific Gravity (Gmb) of Compacted Asphalt Mixtures Using Paraffin-Coated Specimens (Bulk Specific Gravity)
Verified Date: 11/04/2025
Date Tested: 10/31/2025
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: 2A1, 2B1, 2C1
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.279
Bulk Specific Gravity 2 2.234
Bulk Specific Gravity 3 2.287
Average Bulk Specific Gravity 2.267

Test 2 of 2

DIME Test ID: 2025-10-15-39-3
Test Method: AASHTO T275-07r12: Standard Method of Test for Bulk Specific Gravity (Gmb) of Compacted Asphalt Mixtures Using Paraffin-Coated Specimens (Bulk Specific Gravity)
Verified Date: 11/04/2025
Date Tested: 10/31/2025
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: 2A2, 2B2, 2C2
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.263
Bulk Specific Gravity 2 2.259
Bulk Specific Gravity 3 2.26
Average Bulk Specific Gravity 2.261