Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993649 DEA: 081M0304 EFIS: 0821000062
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-177-0.0/27.0
Work Description: PLACE RUBBERIZED HMA, TRAFFIC STRIPING & COLD PLANE ASPHALT CONCRETE.
Location Description: RIVERSIDE COUNTY NEAR DESERT CENTER FROM ROUTE 10/177 SEPARATION TO ROUTE 62
Contractor Name: Martin Marietta -ATP General Engineering Construction
Contractor Address: 4211 Ponderosa Ave. Suite C, San Diego, CA 92123
Resident Engineer: Peter Koury Structure Rep.: Unknown
DIME Sample ID: 2022-11-15-67
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Blythe Field Testing Laboratory
Sample Organization Contact: 9096015132
Type of Sample: Department Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 11/15/2022
Date that the sample was received by the laboratory/organization performing the testing: 11/28/2022
The quantity of what the sample constitutes: 2 boxes, 3 cores
A brief description of the sample: 1/2" RHMA-G-SP PG64-16 MIX: 41218080
From where was the sample collected: Manufacturer
Laboratory sample identification: 2A19
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Martin Marietta - Coachella Plant
DIME Test ID: 2022-11-15-67-1
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)
Submitted By Organization: CT D08 - Blythe Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: brian.teh@dot.ca.gov
Organization Phone: (909) 601-5132
Data has not been verified.
DIME Test ID: 2022-11-15-67-2
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 D08 - Blythe Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: brian.teh@dot.ca.gov
Organization Phone: (909) 601-5132
Data has not been verified.
