Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000481 DEA: 081C07U4 EFIS: 0824000168
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-74-27.5/34.3
Work Description: RUBBERIZED HMA, FIBER OPTIC CABLE SYSTEMS, AND COLD PLANE AC PAVEMENT.
Location Description: RIVERSIDE COUNTY AT AND NEAR ROMOLAND AND HOMELAND FROM BONNIE DRIVE TO WINCHESTER ROAD
Contractor Name: GRIFFITH COMPANY
Contractor Address: 12200 Bloomfield Avenue, Santa Fe Springs, CA 90670
Resident Engineer: Omar Sanchez Structure Rep.: Unknown
DIME Sample ID: 2026-07-28-62
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: 07/28/2026
Date that the sample was received by the laboratory/organization performing the testing: 07/29/2026
The quantity of what the sample constitutes: 2 Boxes of RHMA-G, 194.50 Tons Out
A brief description of the sample: 3/4" RHMA-G
From where was the sample collected: Manufacturer
Laboratory sample identification: 0460G-26
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Martin Marrieta-Lake Elsinore
HMA Type: RHMA-G
HMA Grading: 3/4 inch
Lot number:
Sublot number:
HMA Mix Number: 53418180T3
Binder content (%): 7.5
Virgin binder PG: PG 64-16
Design binder PG: PG 64-16
Binder Supplier:
RAP content (%):
WMA Additives:
Antistrip type: Morelife 5000 by Ingevity
DIME Test ID: 2026-07-28-62-1
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: (213) 792-4797
Data has not been verified.
