Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
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
DIME Sample ID: 2026-08-23-32
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: 08/23/2026
Date that the sample was received by the laboratory/organization performing the testing: 07/16/2026
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
DIME Test ID: 2026-08-23-32-2
Test Method: AASHTO T308-10: 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 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
Data has not been verified.
DIME Test ID: 2026-08-23-32-3
Test Method: AASHTO T209-12: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)
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
Data has not been verified.