Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994586 DEA: 081C08U4 EFIS: 0822000142
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-10-R134.0/R156.5
Work Description: PLACE HMA (TYPE A), JPCP, IMPORTED BORROW, ROADWAY EXCAVATION & CL2 AB
Location Description: RIVERSIDE COUNTY FROM 1.1 MILES WEST OF WILEY WELL ROAD OVERCROSSING TO CALIFORNIA/ARIZONA STATE LINE
Contractor Name: FISHER SAND & GRAVEL CO.
Contractor Address: 19062 San Jose Avenue, LA Puente, CA 91748
Resident Engineer: Ryan Espoy (cc on Reports) Structure Rep.: Tim Flores
DIME Sample ID: 2025-03-06-11
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Production Start-Up
Type of Material: Hot Mix Asphalt
Sample Taken Date: 03/06/2025
Date that the sample was received by the laboratory/organization performing the testing: 03/10/2025
The quantity of what the sample constitutes: 24 BX HMA 1 QT PG58-34M 2 BG EA VGN AG 1 BG EA LT AG 2 BG CF 2 BG RAP
A brief description of the sample: 3/4" HMA A SP R24 1.0% LSM
From where was the sample collected: Manufacturer
Laboratory sample identification: 0157A-25
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Fisher Sand and Gravel
DIME Test ID: 2025-03-06-11-1
Test Method: AASHTO T308-10: Standard Method of Test for Determining the Asphalt Binder Content of Hot Mix Asphalt (HMA) by the Ignition Method (Method A) (Asphalt Binder Content)
Verified Date: 03/21/2025
Date Tested: 03/11/2025
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: (909) 829-3029
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
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What temperature unit is used?
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Celsius
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Test procedure used?
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Method A
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Mass of HMA Sample prior to ignition
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2190.7 g
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Corrected Asphalt Binder Content
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5.13 %
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Mass Loss
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115.4 g
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Correction Factor (Percent by mass of HMA Specimen)
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no data0 %
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Moisture Content
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no data0 %
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Temperature Compensation Factor
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0.14 %
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Test Temperature
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538 C
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DIME Test ID: 2025-03-06-11-2
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: 03/21/2025
Date Tested: 03/12/2025
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: (909) 829-3029
General Comments for this Test:
Test Result Compliance: not applicable
Additional Comments When Verified:
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Bulk Specific Gravity
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2.398
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DIME Test ID: 2025-03-06-11-3
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: 03/21/2025
Date Tested: 03/11/2025
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: (909) 829-3029
General Comments for this Test:
Test Result Compliance: not applicable
Additional Comments When Verified:
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Number of tests
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1
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What is the unit of measurement for theoretical density?
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SI Units
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Mass Determination
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Air
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Specific Gravity for Sample 1
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2.398
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Theoretical maximum density at 25°C (77°F)
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2.5 kg/m^3
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DIME Test ID: 2025-03-06-11-4
Test Method: AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)
Verified Date: 03/21/2025
Date Tested: 03/12/2025
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: (909) 829-3029
General Comments for this Test:
Test Result Compliance: not applicable
Additional Comments When Verified:
DIME Test ID: 2025-03-06-11-5
Test Method: AASHTO T324-14: Standard Method of Test for Hamburg Wheel-Track Testing of Compacted Asphalt Mixtures (Hamburg Wheel Track)
Verified Date: 03/21/2025
Date Tested: 03/21/2025
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: (909) 829-3029
General Comments for this Test:
Test Result Compliance: not applicable
Additional Comments When Verified:
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Specified minimum number of passes at ½” rut depth, or number of passes at ½” rut depth if applicable (Wheel A)
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2.12
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Specified minimum number of passes at ½” rut depth, or number of passes at ½” rut depth if applicable (Wheel B)
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2.3
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Impression at specified number of passes, or specified maximum impression if applicable (Wheel A)
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2.52 mm
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Impression at specified number of passes, or specified maximum impression if applicable (Wheel B)
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2.88 mm
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Stripping Inflection Point (Wheel A)
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2.50
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Stripping Inflection Point (Wheel B)
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2.45
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