Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1001960 DEA: 081J65U4 EFIS: 0824000091
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-10-0.0/R8.2
Work Description: HMA, RHMA, JPCP, JPCP(RSC), and individual slab replacement (RSC).
Location Description:
Contractor Name: Flatiron Dragados
Contractor Address: 12121 scripps Summit Drive, suite 400, Sandeigo, CA 92131
Resident Engineer: Sadique Hossain Structure Rep.: Unknown
DIME Sample ID: 2026-06-18-60
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: 06/18/2026
Date that the sample was received by the laboratory/organization performing the testing: 06/19/2026
The quantity of what the sample constitutes: 2 BOXES, 197.92 TONS
A brief description of the sample: 3/4" HMA-A
From where was the sample collected: Supplier
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: ALL AMERICAN ASPHALT CORONA
DIME Test ID: 2026-06-18-60-1
Test Method: AASHTO T308-25: Standard Method of Test for Determining the Asphalt Binder Content of Hot Mix Asphalt (HMA) by the Ignition Method (Method A) (Asphalt Binder Content)
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: (909) 829-3029
Data has not been verified.
