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Sample Record for 2025-04-05-5

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Project Information

Project ID: 994588 DEA: 081H3904 EFIS: 0817000032 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-15-R20.5/R21.6,R25.5/R30.7
Work Description: CONSTRUCT BUILDING, ROADWAY EXC, JPCP, AND TEMPORARY BARRIER SYSTEM.
Location Description: SAN BERNARDINO COUNTY FROM 0.6 MILE NORTH OF CLEGHORN ROAD UNDERCROSSING TO 0.5 MILE SOUTH OF ROUTE 138 AND FROM 0.5 MILE SOUTH OF TRUCK SAFETY CHECK AREA TO 0.4 MILE NORTH OF OAK HILL ROAD OVERCROSSING
Contractor Name: POWELL CONSTRUCTORS INC
Contractor Address: 8555 BANANA AVE, FONTANA, CA 92335
Resident Engineer: Mauricio Santa Cruz Structure Rep.: Oluwatayo (Tayo) Ogeyemi

Sample Information

DIME Sample ID: 2025-04-05-5
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Sample Organization Contact: 9512323690
Type of Sample: Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 04/05/2025
Date that the sample was received by the laboratory/organization performing the testing: 04/07/2025
The quantity of what the sample constitutes: 3 box, 13 cores
A brief description of the sample: HMA-A 3/4"
From where was the sample collected: Job Site
Laboratory sample identification: 1A, 1B, 1C, 2A, 2B, 2C, 3A, 3B, 3C, 4A, 4B, 4C, 4D
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: All American Asphalt - Corona

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number:
Sublot number:
HMA Mix Number: 105927
Binder content (%):
Virgin binder PG:
Design binder PG:
Binder Supplier:
RAP content (%):
WMA Additives:
Antistrip type:
Test results on following page(s): 6

Test Results

Test 1 of 6

DIME Test ID: 2025-04-05-5-1
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: 04/09/2025
Date Tested: 04/08/2025
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Number of tests 1
What is the unit of measurement for theoretical density? US Units
Mass Determination Air
Specific Gravity for Sample 1 2.543
Theoretical maximum density at 25°C (77°F) 158.3 lb/ft^3

Test 2 of 6

DIME Test ID: 2025-04-05-5-2
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: 04/09/2025
Date Tested: 04/08/2025
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test: 1A, 1B, 1C
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.407
Bulk Specific Gravity 2 2.378
Bulk Specific Gravity 3 2.39
Average Bulk Specific Gravity 2.392

Test 3 of 6

DIME Test ID: 2025-04-05-5-3
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: 04/09/2025
Date Tested: 04/08/2025
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test: 2A, 2B, 2C
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.416
Bulk Specific Gravity 2 2.381
Bulk Specific Gravity 3 2.363
Average Bulk Specific Gravity 2.387

Test 4 of 6

DIME Test ID: 2025-04-05-5-4
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: 04/09/2025
Date Tested: 04/08/2025
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test: 3A, 3B, 3C
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.367
Bulk Specific Gravity 2 2.372
Bulk Specific Gravity 3 2.356
Average Bulk Specific Gravity 2.365

Test 5 of 6

DIME Test ID: 2025-04-05-5-5
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: 04/09/2025
Date Tested: 04/08/2025
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test: 4A, 4B, 4C
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.374
Bulk Specific Gravity 2 2.375
Bulk Specific Gravity 3 2.353
Average Bulk Specific Gravity 2.367

Test 6 of 6

DIME Test ID: 2025-04-05-5-6
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: 04/09/2025
Date Tested: 04/08/2025
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test: 4D
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.395