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Sample Record for 2025-12-13-3

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

Project Information

Project ID: 1000607 DEA: 081K6904 EFIS: 0819000090 QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-74-5.7/11.8
Work Description: ROCK EXCAVATION, HMA (TYPE A), RHMA-G, AND CABLE NET DRAPERY SYSTEM.
Location Description: RIVERSIDE COUNTY IN AND NEAR LAKE ELSINORE FROM MONTE VISTA STREET TO GRAND AVENUE
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: Unknown
Resident Engineer: Joseph Lopez Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2025-12-13-3
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: 12/13/2025
Date that the sample was received by the laboratory/organization performing the testing: 12/17/2025
The quantity of what the sample constitutes: 1 box, 4 cores
A brief description of the sample: 3/4" HMA-A SP
From where was the sample collected: Job Site
Laboratory sample identification: 2A, 4B, 6C, 8D
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: 53417105
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: 2025-12-13-3-1
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: 01/08/2026
Date Tested: 01/07/2026
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: 2A, 4B, 6C
Test Result Compliance: does not comply
Additional Comments When Verified:
Bulk Specific Gravity 2.356
Bulk Specific Gravity 2 2.386
Bulk Specific Gravity 3 2.396
Average Bulk Specific Gravity 2.379

Test 2 of 2

DIME Test ID: 2025-12-13-3-2
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: 01/08/2026
Date Tested: 01/07/2026
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: 8A
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.377