Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994588 DEA: 081H3904 EFIS: 0817000032
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-15-R20.5/R21.6,R25.5/R30.7
Work Description: CONSTRUCT BUILDING, ROADWAY EXC, JPCP, AND TEMPORARY BARRIER SYSTEM.
Location Description: SAN BERNARDINO COUNTY FROM 0.6 MILE NORTH OF CLEGHORN ROAD UNDERCROSSING TO 0.5 MILE SOUTH OF ROUTE 138 AND FROM 0.5 MILE SOUTH OF TRUCK SAFETY CHECK AREA TO 0.4 MILE NORTH OF OAK HILL ROAD OVERCROSSING
Contractor Name: POWELL CONSTRUCTORS INC
Contractor Address: 8555 BANANA AVE, FONTANA, CA 92335
Resident Engineer: Mauricio Santa Cruz Structure Rep.: Oluwatayo (Tayo) Ogeyemi
DIME Sample ID: 2024-10-14-36
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: Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 10/14/2024
Date that the sample was received by the laboratory/organization performing the testing: 10/15/2024
The quantity of what the sample constitutes: 2 BOXES OF HMA
A brief description of the sample: 3/4" HMA A SP R15 .75% LAS
From where was the sample collected: Manufacturer
Laboratory sample identification: 0553A-24
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Oro Grande
DIME Test ID: 2024-10-14-36-1
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)
Verified Date: 10/24/2024
Date Tested: 10/18/2024
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
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
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What temperature unit is used?
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Celsius
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Test procedure used?
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Method A
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Mass of HMA Sample prior to ignition
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2135.6 g
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Corrected Asphalt Binder Content
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4.72 %
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Mass Loss
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111.6 g
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Correction Factor (Percent by mass of HMA Specimen)
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0.36 %
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Moisture Content
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no data0 %
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Temperature Compensation Factor
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0.14 %
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Test Temperature
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538 C
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