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Sample Record for 2025-03-21-17

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: 2025-03-21-17
TL Number from the TL Form:
Sample Submitted By Organization: CT D05 - Whitley Gardens Field Laboratory
Sample Organization Contact: 805-540-9933
Type of Sample: Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 03/21/2025
Date that the sample was received by the laboratory/organization performing the testing: 03/25/2025
The quantity of what the sample constitutes: 750 Tons
A brief description of the sample: 3 HMA core
From where was the sample collected: Job Site
Laboratory sample identification: 250321-L2SL66
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Papich Construction

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number: 2
Sublot number: 66
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): 4

Test Results

Test 1 of 4

DIME Test ID: 2025-03-21-17-1
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: 03/27/2025
Date Tested: 03/24/2025
Submitted By Organization: CT D05 - Whitley Gardens Field Laboratory
Organization Address: 102 South Whitley Gardens Drive,
Organization City: Paso Robles
Organization State: CA
Organization Zipcode: 93346
Organization Email: kyle.engen@dot.ca.gov
Organization Phone: (805) 540-9933
General Comments for this Test:
Test Result Compliance: not applicable
Additional Comments When Verified:
Number of Samples 1
What is the unit of measurement for theoretical density? US Units
Mass Determination Water
Method Performed Mechanical Agitation - Method A
Mass of oven-dry sample in air for Sample 1 2529.5 grams
Mass of container submerged in water for Sample 1 1392.3 grams
Mass of the sample and container in water for Sample 1 2882.8 grams
Temperature of Water 77 °F
Specific Gravity for Sample 1 2.435
Theoretical maximum density at 25°C (77°F) 151.6 lb/ft^3

Test 2 of 4

DIME Test ID: 2025-03-21-17-2
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: 03/27/2025
Date Tested: 03/26/2025
Submitted By Organization: CT D05 - Whitley Gardens Field Laboratory
Organization Address: 102 South Whitley Gardens Drive,
Organization City: Paso Robles
Organization State: CA
Organization Zipcode: 93346
Organization Email: kyle.engen@dot.ca.gov
Organization Phone: (805) 540-9933
General Comments for this Test: L2 SL66A 92.6%
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.254

Test 3 of 4

DIME Test ID: 2025-03-21-17-3
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: 03/27/2025
Date Tested: 03/26/2025
Submitted By Organization: CT D05 - Whitley Gardens Field Laboratory
Organization Address: 102 South Whitley Gardens Drive,
Organization City: Paso Robles
Organization State: CA
Organization Zipcode: 93346
Organization Email: kyle.engen@dot.ca.gov
Organization Phone: (805) 540-9933
General Comments for this Test: L2 SL66B 91.7%
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.233

Test 4 of 4

DIME Test ID: 2025-03-21-17-4
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: 03/27/2025
Date Tested: 03/26/2025
Submitted By Organization: CT D05 - Whitley Gardens Field Laboratory
Organization Address: 102 South Whitley Gardens Drive,
Organization City: Paso Robles
Organization State: CA
Organization Zipcode: 93346
Organization Email: kyle.engen@dot.ca.gov
Organization Phone: (805) 540-9933
General Comments for this Test: L2 SL66C 91.8%
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.235