Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
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
DIME Sample ID: 2025-02-27-23
TL Number from the TL Form: 250227-L4SL1A
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: 02/27/2025
Date that the sample was received by the laboratory/organization performing the testing: 02/27/2025
The quantity of what the sample constitutes: 39AC34GGASA L4 SL1A 250 tons
A brief description of the sample: 2x HMA boxes, 1A 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
DIME Test ID: 2025-02-27-23-2
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: 03/24/2025
Date Tested: 03/24/2025
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 1A
97.9% Density
Test Result Compliance:
Additional Comments When Verified:
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Bulk Specific Gravity
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2.303
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DIME Test ID: 2025-02-27-23-3
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: 03/24/2025
Date Tested: 03/24/2025
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 tests
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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
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7403.4 grams
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Mass of oven-dry sample in air for Sample 1
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2515.8 grams
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Mass of container filled with the sample and water for Sample 1
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8850 grams
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Mass of container filled with water
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7403.4 grams
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Mass of oven-dry sample in air for Sample 2
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2531.5 grams
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Mass of container filled with the sample and water for Sample 2
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8858.4 grams
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Temperature of Water
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76 °F
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Specific Gravity for Sample 1
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2.353
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Specific Gravity for Sample 2
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2.352
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Average Specific Gravity
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2.353
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Theoretical maximum density at 25°C (77°F)
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146.5 lb/ft^3
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