Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000786 DEA: 081J4504 EFIS: 0818000043
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-243-0.0/29.7
Work Description: HMA, THERMOPLASTIC TRAFFIC STRIPE, AND COLD PLANE AC PAVEMENT.
Location Description: RIVERSIDE COUNTY FROM ROUTE 74 AT MOUNTAIN CENTER TO ROUTE 10 IN BANNING
Contractor Name: ALL AMERICAN ASPHALT
Contractor Address: 400 EAST 6TH ST, CORONA, CA 92879
Resident Engineer: Md Rahman Structure Rep.: Unknown
DIME Sample ID: 2026-06-16-65
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 06/16/2026
Date that the sample was received by the laboratory/organization performing the testing: 06/18/2026
The quantity of what the sample constitutes: 105.5
A brief description of the sample: 3/4" WMA-A
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: AAA-Corona
