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Sample Record for 2024-09-27-58

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 994800 DEA: 080H7924 EFIS: 0821000076 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-15-5.1/5.8
Work Description: RAMP METERING SYSTEM, MODIFY LTG SYSTEMS, HMA (TYPE A), & RHMA.
Location Description: SAN BERNARDINO COUNTY IN RANCHO CUCAMONGA FROM 0.2 MILE SOUTH TO 0.5 MILE NORTH OF FOOTHILL BOULEVARD UNDERCROSSING
Contractor Name: POWELL CONSTRUCTORS INC
Contractor Address: 8555 Banana Avenue, Fontana, CA 92335
Resident Engineer: Dominic Ehirim Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2024-09-27-58
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: 09/27/2024
Date that the sample was received by the laboratory/organization performing the testing: 10/03/2024
The quantity of what the sample constitutes: 1 box, 2 cores
A brief description of the sample: HMA-A 3/4", 4" Core
From where was the sample collected: Job Site
Laboratory sample identification: 1A, 1B
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: All American Asphalt - Corona

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number:
Sublot number:
HMA Mix Number: 105793
Binder content (%):
Virgin binder PG:
Design binder PG:
Binder Supplier:
RAP content (%):
WMA Additives:
Antistrip type:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2024-09-27-58-1
Test Method: AASHTO T209-12: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)
Verified Date: 10/09/2024
Date Tested: 10/04/2024
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:
Test Result Compliance:
Additional Comments When Verified:
Number of tests 1
What is the unit of measurement for theoretical density? US Units
Mass Determination Water
Specific Gravity for Sample 1 2.55
Theoretical maximum density at 25°C (77°F) 158.7 lb/ft^3

Test 2 of 2

DIME Test ID: 2024-09-27-58-2
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: 10/04/2024
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: 1A, 1B
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.358
Bulk Specific Gravity 2 2.356
Average Bulk Specific Gravity 2.357