Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000857 DEA: 07346504 EFIS: 0718000075
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-91-6.0/R20.7
Work Description: REPLACE OVERHEAD SIGNS & SIGN STRUCTURES, CONSTRUCT MVPS & LANDSCAPING
Location Description: LOS ANGELES COUNTY ON ROUTE 91 AT VARIOUS LOCATIONS FROM VERMONT AVENUE IN LOS ANGELES TO THE ORANGE COUNTY LINE IN CERRITOS
Contractor Name: SECURITY PAVING COMPANY, INC.
Contractor Address: 3075 townsgate Road, Suite 200, Westlake Village CA 91361
Resident Engineer: Steven Taing Structure Rep.: Quan Ho
DIME Sample ID: 2026-03-17-49
TL Number from the TL Form: 031726
Sample Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Sample Organization Contact: (213) 817-0387
Type of Sample: Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 03/17/2026
Date that the sample was received by the laboratory/organization performing the testing: 03/30/2026
The quantity of what the sample constitutes: 750 Tons
A brief description of the sample: 3/4 WMA-A
From where was the sample collected: Job Site
Laboratory sample identification: 26-068
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Materials Corona
DIME Test ID: 2026-03-17-49-1
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: 04/10/2026
Date Tested: 04/01/2026
Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Organization Address: 1940 South Workman Mill Road,
Organization City: Whittier
Organization State: CA
Organization Zipcode: 90601
Organization Email: chad.chotibhongs@dot.ca.gov
Organization Phone: (213) 407-6963
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
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Bulk Specific Gravity
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2.371
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