Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 215349 DEA: 081C0824 EFIS: 0816000087
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-10-R104.9/R134.2
Work Description: PLACE HMA (TYPE A), JPCP AND IMPORTED BORROW.
Location Description: RIVERSIDE COUNTY FROM ROUTE 10/177 SEPARATION TO 1.1 MILES WEST OF WILEY'S WELL RD OC
Contractor Name: FISHER SAND & GRAVEL CO.
Contractor Address: 1302 W DRIVERS WAY, TEMPE, AZ. 85284
Resident Engineer: Khoi Vu Structure Rep.: Shukri Abouazra
DIME Sample ID: 2022-03-22-38
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Informational
Type of Material: Hot Mix Asphalt
Sample Taken Date: 03/22/2022
Date that the sample was received by the laboratory/organization performing the testing: 03/22/2022
The quantity of what the sample constitutes: 24 boxes of HMA
A brief description of the sample: 3/4" HMA-A
From where was the sample collected: Source
Laboratory sample identification: 022-027
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Fisher Sand - Tempe
DIME Test ID: 2022-03-22-38-1
Test Method: ASTM D8225-19: Standard Test Method For Determination Of Cracking Tolerance Index Of Asphalt Mixture Using The Indirect Tensile Cracking Test At Intermediate Temperature
Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Boulevard, Room 225,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (916) 227-7302
Data has not been verified.
DIME Test ID: 2022-03-22-38-2
Test Method: ASTM D8360-22: Standard Test Method for Determination of Rutting Tolerance Index of Asphalt Mixture Using the Ideal Rutting Test (Rutting Tolerance)
Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Boulevard, Room 225,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (916) 227-7302
Data has not been verified.
DIME Test ID: 2022-03-22-38-4
Test Method: CTM 389-19: Method of Test for Hamburg Wheel-Track Testing of Compacted Hot Mix Asphalt
Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Boulevard, Room 225,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (916) 227-7302
Data has not been verified.
