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Sample Record for 2024-11-20-21

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

Project Information

Project ID: 215771 DEA: 09367504 EFIS: 0916000032 QA Service Level: 1
DIST-CO-RTE-PM: 09--5756-NA
Work Description: Building work, hot mix asphalt (type A)
Location Description: IN KERN COUNTY IN TEHACHAPI AT THE TEHACHAPI HIGHWAY MAINTENANCE STATION AT 305 INDUSTRIAL PARKWAY
Contractor Name: BOWE CONTRACTORS INC.
Contractor Address: 609 Bailey Ct, Tehachapi, CA 93561
Resident Engineer: Raj Bharathan Structure Rep.: Alex Naime

Sample Information

DIME Sample ID: 2024-11-20-21
TL Number from the TL Form: 4526
Sample Submitted By Organization: CT D09 - Bishop Field Laboratory
Sample Organization Contact: (760) 872-5211
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 11/20/2024
Date that the sample was received by the laboratory/organization performing the testing: 11/22/2024
The quantity of what the sample constitutes: 750 Tons
A brief description of the sample: 3/4" HMA Cores
From where was the sample collected: Job Site
Laboratory sample identification: CR-11
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite Solari Plant

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number:
Sublot number:
HMA Mix Number:
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: 2024-11-20-21-1
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: 11/22/2024
Date Tested: 11/22/2024
Submitted By Organization: CT D09 - Bishop Field Laboratory
Organization Address: 500 South Main Street,
Organization City: Bishop
Organization State: CA
Organization Zipcode: 93514
Organization Email: chris.talbot@dot.ca.gov
Organization Phone: (760) 872-0794
General Comments for this Test: CR-11
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.358

Test 2 of 2

DIME Test ID: 2024-11-20-21-2
Test Method: AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)
Verified Date: 11/22/2024
Date Tested: 11/22/2024
Submitted By Organization: CT D09 - Bishop Field Laboratory
Organization Address: 500 South Main Street,
Organization City: Bishop
Organization State: CA
Organization Zipcode: 93514
Organization Email: chris.talbot@dot.ca.gov
Organization Phone: (760) 872-0794
General Comments for this Test: Density for Core 11: 11A=91.8%
Test Result Compliance: complies
Additional Comments When Verified:
Percent Air Voids 8.2 %