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Sample Record for 2025-01-20-19

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

Project Information

Project ID: 994443 DEA: 053307C4 EFIS: 0514000028 QA Service Level: 1
DIST-CO-RTE-PM: 05-SLO-41,46-44.5/45.3,54.0/57.8
Work Description: Wye Segment - Route 41/46 Separation
Location Description:
Contractor Name: Atkinson Construction
Contractor Address: 18201 Von Karman - Suite 800, Irvine, CA 92612
Resident Engineer: Brian Harrington Structure Rep.: Dave Lewis

Sample Information

DIME Sample ID: 2025-01-20-19
TL Number from the TL Form: 250120 L2 SL17
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: 01/20/2025
Date that the sample was received by the laboratory/organization performing the testing: 02/10/2025
The quantity of what the sample constitutes: L230077A L2 SL 17A 250 tons
A brief description of the sample: 2x HMA boxes, 17A core
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

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number: 2
Sublot number: 17
HMA Mix Number: L230077A
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: 2025-01-20-19-1
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: 02/12/2025
Date Tested: 02/12/2025
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:
Number of tests 2
What is the unit of measurement for theoretical density? US Units
Mass Determination Air
Method Performed Mechanical Agitation - Method A
Mass of container filled with water 7403.4 grams
Mass of oven-dry sample in air for Sample 1 2569.8 grams
Mass of container filled with the sample and water for Sample 1 8915.7 grams
Mass of container filled with water 7381.1
Mass of oven-dry sample in air for Sample 2 2568 grams
Mass of container filled with the sample and water for Sample 2 8893.9 grams
Temperature of Water 24 °F
Specific Gravity for Sample 1 2.43
Specific Gravity for Sample 2 2.434
Average Specific Gravity 2.432
Theoretical maximum density at 25°C (77°F) 151.4 lb/ft^3

Test 2 of 2

DIME Test ID: 2025-01-20-19-2
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: 02/12/2025
Date Tested: 02/12/2025
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 17A 89.6% Density
Test Result Compliance:
Additional Comments When Verified:
Bulk Specific Gravity 2.18