Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000101 DEA: 081J2904 EFIS: 0818000015
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-215-25.0/R31.2
Work Description: RHMA, HMA, REPLACE AC SURFACING, AND COLD PLANE AC PVMT.
Location Description: RIVERSIDE COUNTY IN AND NEAR PERRIS FROM 0.1 MILE SOUTH OF SAN JACINTO RIVER BRIDGE TO 0.3 MILE NORTH OF RAMONA EXPRESSWAY
Contractor Name: COFFMAN SPECIALTIES, INC.
Contractor Address: 9685 Via Excelencia, Suite 200, San Diego, CA 92126
Resident Engineer: Mohamad Alsheikh Structure Rep.: Unknown
DIME Sample ID: 2025-04-02-13
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: Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 04/02/2025
Date that the sample was received by the laboratory/organization performing the testing: 04/03/2025
The quantity of what the sample constitutes: 2 BOXES OF HMA, 1 QT PG64-16, 1 QT LAS
A brief description of the sample: 3/4" HMA A SP R25 0.5% LAS
From where was the sample collected: Manufacturer
Laboratory sample identification: 0192A-25
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Martin Mariett(CCA) Lake Elsinore
DIME Test ID: 2025-04-02-13-1
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: 04/07/2025
Date Tested: 04/04/2025
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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2085.9 g
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Corrected Asphalt Binder Content
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4.74 %
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Mass Loss
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124.5 g
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Correction Factor (Percent by mass of HMA Specimen)
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1.09 %
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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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