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Sample Record for 2026-07-16-89

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 993812 DEA: 11431274 EFIS: 1121000129 QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-5-R0.3/R36.0
Work Description: CMGC Project- Restore the pavement to a state of good repair through roadway rehabilitation, pavement preservation, drainage restoration, transportation management system upgrades, and American with Disabilities Act (ADA) infrastructure improvements.
Location Description: SD County
Contractor Name: Kiewit Infrastrucure
Contractor Address: West 2200 Columbia House Boulevard, Vancouver, WA 98661
Resident Engineer: Timothy Poppe Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2026-07-16-89
TL Number from the TL Form:
Sample Submitted By Organization: CT D11 - District 11 Materials Laboratory
Sample Organization Contact: (858) 518-8709
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 07/16/2026
Date that the sample was received by the laboratory/organization performing the testing: 07/17/2026
The quantity of what the sample constitutes: 4 boxes
A brief description of the sample: Plant Sample
From where was the sample collected: Supplier
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: MM Lakeside

Material Information

HMA Type: RHMA-G
HMA Grading: 1/2 inch
Lot number:
Sublot number:
HMA Mix Number: 21218180AH
Binder content (%): 0.0
Virgin binder PG:
Design binder PG:
Binder Supplier:
RAP content (%): 0
WMA Additives:
Antistrip type:
Test results on following page(s): 1

Test Results

Test

DIME Test ID: 2026-07-16-89-1
Test Method: CTM 375-February 2012: Determining the Density and Relative Compaction of Data Cores (lab)
Verified Date: 08/19/2026
Date Tested: 08/18/2026
Submitted By Organization: CT D11 - District 11 Materials Laboratory
Organization Address: 4050 Taylor Street,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92110
Organization Email: benjamin.haney@dot.ca.gov
Organization Phone: (858) 688-1595
General Comments for this Test: SG=2.453 taken from 2026-07-15-77), complies
Test Result Compliance: complies
Additional Comments When Verified:
Number of Cores 3
Core ID 2A33
Dry Weight 884 grams
Parrafin Coated Weight 897.4 grams
Coated Weight in Water 501.2 grams
Theoretical Maximum Density 2.462
Core 2 ID 2B33
Dry Weight 2 982 grams
Parrafin Coated Weight 2 997.5 grams
Coated Weight in Water 2 554.7 grams
Core 3 ID 2C33
Dry Weight 3 906.8 grams
Parrafin Coated Weight 3 923 grams
Coated Weight in Water 3 505.6 grams