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: 2026-07-06-55
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: 07/06/2026
Date that the sample was received by the laboratory/organization performing the testing: 07/08/2026
The quantity of what the sample constitutes: 2 BOXES, LOAD #6, 114.34 TONS
A brief description of the sample: 3/4" WMA-A
From where was the sample collected: Supplier
Laboratory sample identification: 0390A-26
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: ALL AMERICAN ASPHALT PERRIS
HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number: 2
Sublot number: 37
HMA Mix Number: 103819 PERRIS
Binder content (%): 4.8
Virgin binder PG: PG 64-16
Design binder PG: PG 64-16
Binder Supplier: SJR
RAP content (%): 15
WMA Additives: Yes
Antistrip type: 0.40% INGEVITY EVOTHERM
DIME Test ID: 2026-07-06-55-1
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.
