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Sample Record for 2024-06-25-154

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

Project Information

Project ID: 994686 DEA: 051K4604 EFIS: 0518000210 QA Service Level: 1
DIST-CO-RTE-PM: 05-SLO-46-29.7/32.2
Work Description: COLD PLANE, PLACE HMA, RHMA, CONC PVMT, MODIFY SIGNAL AND LIGHTING.
Location Description: SAN LUIS OBISPO COUNTY IN PASO ROBLES FROM 300 FEET WEST OF ROUTE 101/46 SEPARATION TO 0.1 MILE EAST OF AIRPORT ROAD
Contractor Name: PAPICH CONSTRUCTION COMPANY, INC.
Contractor Address: 800 FARROLL RD, GROVER BEACH, CA 93433
Resident Engineer: Michael Schmidt Structure Rep.: Ray Barajas

Sample Information

DIME Sample ID: 2024-06-25-154
TL Number from the TL Form:
Sample Submitted By Organization: CT D05 - Paso Robles Field Laboratory
Sample Organization Contact: 1 (209) 610-9363
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 06/25/2024
Date that the sample was received by the laboratory/organization performing the testing: 06/24/2024
The quantity of what the sample constitutes: 250T
A brief description of the sample: HMA compaction core
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: PAPICH

Material Information

HMA Type: RHMA-G
HMA Grading: 3/4 inch
Lot number: 1
Sublot number: 19
HMA Mix Number: 39AC12GGAST
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: 2024-06-25-154-1
Test Method: AASHTO T209-22: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)
Submitted By Organization: CT D05 - Paso Robles Field Laboratory
Organization Address: CA,
Organization City: ,
Organization State: CA
Organization Zipcode: 93422
Organization Email: isaac.larey.chezem@dot.ca.gov
Organization Phone: (805) 234-6493
Data has not been verified.

Test 2 of 2

DIME Test ID: 2024-06-25-154-2
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: 12/16/2024
Date Tested: 06/25/2024
Submitted By Organization: CT D05 - Paso Robles Field Laboratory
Organization Address: CA,
Organization City: ,
Organization State: CA
Organization Zipcode: 93422
Organization Email: isaac.larey.chezem@dot.ca.gov
Organization Phone: (805) 234-6493
General Comments for this Test: 19A 19B
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.191
Bulk Specific Gravity 2 2.146
Average Bulk Specific Gravity 2.169