Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 212246 DEA: 053307A4 EFIS: 0514000027
QA Service Level: 1
DIST-CO-RTE-PM: 05-SLO-46-49.7/54.6
Work Description: Cholame Segment
Location Description:
Contractor Name: Atkinson Construction
Contractor Address: 18201 Von Karman - Suite 800, Irvine, CA 92612
Resident Engineer: Andrew Borrelli Structure Rep.: Dave Lewis
DIME Sample ID: 2024-12-11-53
TL Number from the TL Form: 241211 L3 SL22
Sample Submitted By Organization: CT D05 - Whitley Gardens Field Laboratory
Sample Organization Contact: 805-540-9933
Type of Sample: Dispute Resolution
Type of Material: Hot Mix Asphalt
Sample Taken Date: 12/11/2024
Date that the sample was received by the laboratory/organization performing the testing: 01/15/2025
The quantity of what the sample constitutes: L230077A L3 SL22 - 42 tons
A brief description of the sample: 3/4 HMA boxes, core A
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Sierra Pacific Materials - Avenal
DIME Test ID: 2024-12-11-53-1
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: 01/17/2025
Date Tested: 01/17/2025
Submitted By Organization: CT D01 - District 1 Materials Laboratory
Organization Address: 1050 River Ranch Road,
Organization City: Fortuna
Organization State: California
Organization Zipcode: 95540
Organization Email: leif.ayres@dot.ca.gov
Organization Phone: (707) 496-0974
General Comments for this Test: Core 22A
89.7% Density
Test Result Compliance:
Additional Comments When Verified:
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Bulk Specific Gravity
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2.207
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DIME Test ID: 2024-12-11-53-2
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: 01/17/2025
Date Tested: 01/17/2025
Submitted By Organization: CT D01 - District 1 Materials Laboratory
Organization Address: 1050 River Ranch Road,
Organization City: Fortuna
Organization State: California
Organization Zipcode: 95540
Organization Email: leif.ayres@dot.ca.gov
Organization Phone: (707) 496-0974
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
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Number of Samples
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2
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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 1
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7381.5 grams
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Mass of oven-dry sample in air for Sample 1
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2593 grams
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Mass of container filled with the sample and water for Sample 1
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8922.8 grams
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Mass of container filled with water 2
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7381.5 grams
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Mass of oven-dry sample in air for Sample 2
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2585.7 grams
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Mass of container filled with the sample and water for Sample 2
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8916.2 grams
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Temperature of Water
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76.5 °F
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Specific Gravity for Sample 1
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2.466
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Specific Gravity for Sample 2
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2.46
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Average Specific Gravity
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2.463
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Theoretical maximum density at 25°C (77°F)
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153.3 lb/ft^3
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