Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000665 DEA: 081K4004 EFIS: 0819000031
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-15-3.5/6.8
Work Description: HMA (TYPE A), RDWY EXC, STR CONC RET WALL, RUBBERIZED HMA (OGFC).
Location Description: TEMECULA FROM 0.1 MI NORTH OF TEMECULA PARKWAY TO 0.2 MI NORTH OF WINCHESTER ROAD
Contractor Name: BEADOR CONSTRUCTION COMPANY, INC.
Contractor Address: 2900 Bristol Street, Suite D204, Costa Mesa, CA 92626
Resident Engineer: Denise Sostrom Structure Rep.: Gizachew Abayneh
DIME Sample ID: 2026-08-10-86
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: Hot Mix Asphalt
Sample Taken Date: 08/10/2026
Date that the sample was received by the laboratory/organization performing the testing: 09/02/2026
The quantity of what the sample constitutes: 2 cores
A brief description of the sample: 3/4" HMA-A SP
From where was the sample collected: Job Site
Laboratory sample identification: 49A, 49B
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: R.J. Noble Co. — Corona
DIME Test ID: 2026-08-10-86-1
Test Method: AASHTO T275-07r12: Standard Method of Test for Bulk Specific Gravity (Gmb) of Compacted Asphalt Mixtures Using Paraffin-Coated Specimens (Bulk Specific Gravity)
Verified Date: 09/10/2026
Date Tested: 09/03/2026
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: 49A, 49B
Test Result Compliance: complies
Additional Comments When Verified:
|
Bulk Specific Gravity
|
2.366
|
|
Bulk Specific Gravity 2
|
2.397
|
|
Average Bulk Specific Gravity
|
2.382
|
