Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000649 DEA: 061H3404 EFIS: 0625000042
QA Service Level: 1
DIST-CO-RTE-PM: 06-TUL-99-23.49
Work Description: BRIDGE REPAIR FOR BR #46 0192
Location Description: Tulare County along NB SR 99 at Avenue 184 OC, Bridge #46 0192.
Contractor Name: Yarbs Grading and Paving, Inc.
Contractor Address: P.O.Box 87 Fowler, CA 93625
Resident Engineer: Amir Zamanian Structure Rep.: Luis Guzman
DIME Sample ID: 2024-10-16-17
TL Number from the TL Form:
Sample Submitted By Organization: CT D06 - Visalia Field Laboratory
Sample Organization Contact: (559) 974-1304
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 10/16/2024
Date that the sample was received by the laboratory/organization performing the testing: 10/17/2024
The quantity of what the sample constitutes: 10 Boxes 2 Bags 4 Cans
A brief description of the sample: HMA Type A
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Porterville Rock and Recycle
DIME Test ID: 2024-10-16-17-1
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: 10/17/2024
Date Tested: 10/17/2024
Submitted By Organization: CT D06 - Visalia Field Laboratory
Organization Address: 8530 W Roosevelt Ave,
Organization City: Visalia
Organization State: CA
Organization Zipcode: 93291
Organization Email: paul.klinker@dot.ca.gov
Organization Phone: (559) 974-1304
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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2099 g
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Corrected Asphalt Binder Content
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4.62 %
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Mass Loss
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105.7 g
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Correction Factor (Percent by mass of HMA Specimen)
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0.28 %
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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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DIME Test ID: 2024-10-16-17-2
Test Method: AASHTO T209-22: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)
Verified Date: 10/17/2024
Date Tested: 10/17/2024
Submitted By Organization: CT D06 - Visalia Field Laboratory
Organization Address: 8530 W Roosevelt Ave,
Organization City: Visalia
Organization State: CA
Organization Zipcode: 93291
Organization Email: paul.klinker@dot.ca.gov
Organization Phone: (559) 974-1304
General Comments for this Test:
Test Result Compliance: not applicable
Additional Comments When Verified:
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Number of Samples
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1
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What is the unit of measurement for theoretical density?
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SI 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 1
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7318.7 grams
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Mass of oven-dry sample in air for Sample 1
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2510.9 grams
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Mass of container filled with the sample and water for Sample 1
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8899.3 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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2.699
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Theoretical maximum density at 25°C (77°F)
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2691 kg/m^3
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DIME Test ID: 2024-10-16-17-3
Test Method: CTM 375-February 2012: Determining the Density and Relative Compaction of Data Cores (lab)
Verified Date: 10/17/2024
Date Tested: 10/17/2024
Submitted By Organization: CT D06 - Visalia Field Laboratory
Organization Address: 8530 W Roosevelt Ave,
Organization City: Visalia
Organization State: CA
Organization Zipcode: 93291
Organization Email: paul.klinker@dot.ca.gov
Organization Phone: (559) 974-1304
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
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Number of Cores
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2
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Core 1 ID
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1-1
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Dry Weight 1
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1354.9 grams
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Parrafin Coated Weight 1
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1370.6 grams
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Coated Weight in Water 1
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821.9 grams
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Theoretical Maximum Density
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2.706
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Core 2 ID
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1-2
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Dry Weight 2
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954.1 grams
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Parrafin Coated Weight 2
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973.5 grams
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Coated Weight in Water 2
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566.7 grams
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Sublot Relative Compaction
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92.8 %
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DIME Test ID: 2024-10-16-17-4
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: 10/22/2024
Date Tested: 10/21/2024
Submitted By Organization: CT D06 - Visalia Field Laboratory
Organization Address: 8530 W Roosevelt Ave,
Organization City: Visalia
Organization State: CA
Organization Zipcode: 93291
Organization Email: paul.klinker@dot.ca.gov
Organization Phone: (559) 974-1304
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
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Bulk Specific Gravity
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2.538
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Bulk Specific Gravity 2
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2.532
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Bulk Specific Gravity 3
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2.539
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Average Bulk Specific Gravity
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2.536
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DIME Test ID: 2024-10-16-17-5
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: 10/22/2024
Date Tested: 10/21/2024
Submitted By Organization: CT D06 - Visalia Field Laboratory
Organization Address: 8530 W Roosevelt Ave,
Organization City: Visalia
Organization State: CA
Organization Zipcode: 93291
Organization Email: paul.klinker@dot.ca.gov
Organization Phone: (559) 974-1304
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
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Bulk Specific Gravity
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2.55
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