Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993635 DEA: 120R7504 EFIS: 1219000030
QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-5-R33.7/R35.4
Work Description: PLACE HMA, JPCP, INSTALL SIGN STRUCTURE, AND ELECTRICAL SYSTEMS.
Location Description: IN THE COUNTY OF ORANGE, IN THE CITIES OF ORANGE AND SANTA ANA, ON SB I-5 BETWEEN THE EB RTE 22/SB I-5 CONN AND NORTH OF STATE COLLEGE BLVD. UC
Contractor Name: PETERSON-CHASE GENERAL ENGINEERING CONSTRUCTION, INC.
Contractor Address: 16351 Construction Circle West, Irvine, CA 92606
Resident Engineer: Jessica Harvey Structure Rep.: Maheshwarlal Kapoor
DIME Sample ID: 2024-10-10-44
TL Number from the TL Form:
Sample Submitted By Organization: CT D12 - Huntington Beach Field Laboratory
Sample Organization Contact: 9492798846
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 10/10/2024
Date that the sample was received by the laboratory/organization performing the testing: 10/10/2024
The quantity of what the sample constitutes: 3/4 HMA-A
A brief description of the sample: 3/4 HMA-A
From where was the sample collected: Manufacturer
Laboratory sample identification: 24-0926
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: AAA - CORONA
DIME Test ID: 2024-10-10-44-1
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: 10/11/2024
Submitted By Organization: CT D12 - Huntington Beach Field Laboratory
Organization Address: 19601 Beach Boulevard,
Organization City: Huntington Beach
Organization State: CA
Organization Zipcode: 92648
Organization Email: frank.mai@dot.ca.gov
Organization Phone: (949) 279-8846
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 the specimen basket assembly
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4009.6 g
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Mass of the specimen and specimen basket assembly prior to ignition
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6029.8 g
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Mass of HMA Sample prior to ignition
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2020.2 g
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Corrected Asphalt Binder Content
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4.05 %
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Mass Loss
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91.2 g
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Mass of aggregate remaining after ignition
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1929 g
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Correction Factor (Percent by mass of HMA Specimen)
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0.46 %
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Moisture Content
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no data0 %
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Temperature Compensation Factor
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no data0 %
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Test Temperature
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538 C
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DIME Test ID: 2024-10-10-44-2
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: 10/24/2024
Date Tested: 10/11/2024
Submitted By Organization: CT D12 - Huntington Beach Field Laboratory
Organization Address: 19601 Beach Boulevard,
Organization City: Huntington Beach
Organization State: CA
Organization Zipcode: 92648
Organization Email: frank.mai@dot.ca.gov
Organization Phone: (949) 279-8846
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
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Number of tests
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1
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What is the unit of measurement for theoretical density?
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US Units
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Mass Determination
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Air
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Method Performed
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Mechanical Agitation - Method A
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Mass of container filled with water
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7309 grams
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Mass of oven-dry sample in air for Sample 1
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2520.1 grams
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Mass of container filled with the sample and water for Sample 1
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8845.7 grams
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Temperature of Water
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77 °F
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Specific Gravity for Sample 1
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2.563
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Theoretical maximum density at 25°C (77°F)
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159.5 lb/ft^3
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DIME Test ID: 2024-10-10-44-3
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: 10/24/2024
Date Tested: 10/15/2024
Submitted By Organization: CT D12 - Huntington Beach Field Laboratory
Organization Address: 19601 Beach Boulevard,
Organization City: Huntington Beach
Organization State: CA
Organization Zipcode: 92648
Organization Email: frank.mai@dot.ca.gov
Organization Phone: (949) 279-8846
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
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Bulk Specific Gravity
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2.448
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