Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
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
DIME Sample ID: 2026-04-20-38
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: 04/20/2026
Date that the sample was received by the laboratory/organization performing the testing: 05/01/2026
The quantity of what the sample constitutes: 1 box, 2 cores
A brief description of the sample: 3/4" HMA A SP
From where was the sample collected: Job Site
Laboratory sample identification: 1A20, 1B20
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: R.J. Noble Co. — Corona
DIME Test ID: 2026-04-20-38-2
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: 05/06/2026
Date Tested: 05/04/2026
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: 1A20, 1B20
Test Result Compliance: complies
Additional Comments When Verified:
|
Bulk Specific Gravity
|
2.279
|
|
Bulk Specific Gravity 2
|
2.315
|
|
Average Bulk Specific Gravity
|
2.297
|