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Sample Record for 2024-09-18-125

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

Project Information

Project ID: 994328 DEA: 081H0604 EFIS: 0816000130 QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-74-34.3/45.1
Work Description: FIBER OPTIC CABLE SYSTEMS, RHMA, HMA, AND MINOR CONCRETE.
Location Description: RIVERSIDE COUNTY IN AND NEAR HEMET FROM WINCHESTER ROAD TO FAIRVIEW AVENUE
Contractor Name: GRIFFITH COMPANY
Contractor Address: Unknown
Resident Engineer: Omar Sanchez Structure Rep.: Arnel Vega

Sample Information

DIME Sample ID: 2024-09-18-125
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: 09/18/2024
Date that the sample was received by the laboratory/organization performing the testing: 09/30/2024
The quantity of what the sample constitutes: 1 box, 5 cores
A brief description of the sample: RHMA-G 1/2"
From where was the sample collected: Job Site
Laboratory sample identification: 27A, 27B, 27C, 28A, 28B
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: All American Asphalt Perris

Material Information

HMA Type: RHMA-G
HMA Grading: 1/2 inch
Lot number:
Sublot number:
HMA Mix Number: 106836
Binder content (%):
Virgin binder PG:
Design binder PG:
Binder Supplier:
RAP content (%):
WMA Additives:
Antistrip type:
Test results on following page(s): 3

Test Results

Test 1 of 3

DIME Test ID: 2024-09-18-125-1
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: 12/06/2024
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 Air
Specific Gravity for Sample 1 2.409
Theoretical maximum density at 25°C (77°F) 149.9 lb/ft^3

Test 2 of 3

DIME Test ID: 2024-09-18-125-2
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: 12/06/2024
Date Tested: 10/03/2024
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: 27A, 27B, 27C
Test Result Compliance: does not comply
Additional Comments When Verified:
Bulk Specific Gravity 2.3
Bulk Specific Gravity 2 2.175
Bulk Specific Gravity 3 2.266
Average Bulk Specific Gravity 2.247

Test 3 of 3

DIME Test ID: 2024-09-18-125-3
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: 12/06/2024
Date Tested: 10/03/2024
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: 28A, 28B
Test Result Compliance: does not comply
Additional Comments When Verified:
Bulk Specific Gravity 2.183
Bulk Specific Gravity 2 2.271
Average Bulk Specific Gravity 2.227