Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1002260 DEA: 081N8104 EFIS: 0823000050
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-40-R135.9/R143.8
Work Description: RHMA-open graded (OGFC), cold plane AC Pvmt, & replace AC Surf.
Location Description:
Contractor Name: SULLY - MILLER CONTRACTING COMPANY
Contractor Address: 135 S STATE COLLEGE BLVD. 400, BREA, CA 92821
Resident Engineer: Anthony Doan Structure Rep.: Unknown
DIME Sample ID: 2026-08-10-58
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: 08/10/2026
Date that the sample was received by the laboratory/organization performing the testing: 08/11/2026
The quantity of what the sample constitutes: 2 BOXES, 828.21 TONS, LOAD# 33
A brief description of the sample: 1/2" RHMA-G
From where was the sample collected: Supplier
Laboratory sample identification: 0512G-26
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Blue Diamond-Victorville
HMA Type: RHMA-G
HMA Grading: 1/2 inch
Lot number: 1
Sublot number: 8
HMA Mix Number: 300191 LSM
Binder content (%): 7.5
Virgin binder PG: PG 64-16
Design binder PG: PG 64-16
Binder Supplier: WORLD OIL
RAP content (%): 0
WMA Additives: No
Antistrip type: 1.0%
DIME Test ID: 2026-08-10-58-1
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.
