Sample Record for 2026-06-15-101
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
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: Khoi Vu Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2026-06-15-101
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Sample Organization Contact: 9098293350
Type of Sample: Acceptance
Type of Material: Aggregate
Sample Taken Date: 06/15/2026
Date that the sample was received by the laboratory/organization performing the testing: 06/16/2026
The quantity of what the sample constitutes: 79.44 Tons @ 22:45
A brief description of the sample: 3/4" HMA-A SP
From where was the sample collected: Manufacturer
Laboratory sample identification: 0345A-26
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: All American Asphalt — Corona
Material Information
Source Identification (SMARA, name of Pit or Job Site): 91-33-0005
The fabricator's/manufacturer's product name for the sample:
The fabricator/manufacturer designation for the sample:
The plant number:
A detailed description of where the material sample was collected: Belt Cut at All American Asphalt Corona Plant
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number: 105793
Test Results
Test
DIME Test ID: 2026-06-15-101-1
Test Method: AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent)
Verified Date: 08/10/2026
Date Tested: 06/16/2026
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: james.holloway@dot.ca.gov
Organization Phone: (951) 232-8846
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
