Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994327 DEA: 081G4704 EFIS: 0816000001
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-74-3.1/53.5
Work Description: STRUCTURAL CONC BR, CONC SLAB, HMA (TYPE A), ALT CRASH CUSHION SYSTEM.
Location Description: RIVERSIDE COUNTY NEAR LAKE ELSINORE AT MORRILL CANYON BRIDGE AND NEAR HEMET AT STRAWBERRY CREEK BRIDGE.
Contractor Name: BEADOR CONSTRUCTION COMPANY, INC.
Contractor Address: 26320 LESTER CIRCLE;, CORONA CA 92883
Resident Engineer: Mike A Bergevin Structure Rep.: Arnel Vega
DIME Sample ID: 2024-08-09-117
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Sample Organization Contact: 9512323690
Type of Sample: Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 08/09/2024
Date that the sample was received by the laboratory/organization performing the testing: 08/22/2024
The quantity of what the sample constitutes: 1 box, 3 cores
A brief description of the sample: HMA-A 3/4"
From where was the sample collected: Job Site
Laboratory sample identification: 1A6, 1B6, 1C6
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: AAA Corona
DIME Test ID: 2024-08-09-117-2
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: 10/09/2024
Date Tested: 10/09/2024
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: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test: 1A6, 1B6, 1C6
Test Result Compliance: complies
Additional Comments When Verified:
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Bulk Specific Gravity
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2.419
|
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Bulk Specific Gravity 2
|
2.392
|
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Bulk Specific Gravity 3
|
2.387
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Average Bulk Specific Gravity
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2.399
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