Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214848 DEA: 081H3414 EFIS: 0818000172
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-210,215,259-Various
Work Description: PLACE RHMA-G, COLD PLANE AC AND REPLACE AC SURFACING.
Location Description: SAN BERNARDINO COUNTY ON ROUTE 210, 215 AND 259 AT VARIOUS LOCATIONS
Contractor Name: All American Asphalt
Contractor Address: 400 E. 6th Street, PO Box 2229, Corona, CA 92878-2229
Resident Engineer: Rambod Sufipur Structure Rep.: Unknown
DIME Sample ID: 2020-10-17-2
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: Department Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 10/17/2020
Date that the sample was received by the laboratory/organization performing the testing: 10/19/2020
The quantity of what the sample constitutes: 2 boxes 82 tons out
A brief description of the sample: 3/4" HMA-A R15 PG64-28M
From where was the sample collected: Manufacturer
Laboratory sample identification: 0618A-20
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: All American Asphalt - Corona
DIME Test ID: 2020-10-17-2-1
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 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: (909) 829-3029
Data has not been verified.
