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: 2025-04-15-46
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: 04/15/2025
Date that the sample was received by the laboratory/organization performing the testing: 04/16/2025
The quantity of what the sample constitutes: 392 tons
A brief description of the sample: 2 HMA core
From where was the sample collected: Job Site
Laboratory sample identification: 250415-L4SL11
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Papich Construction
DIME Test ID: 2025-04-15-46-1
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: 04/22/2025
Date Tested: 04/17/2025
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:
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Number of Samples
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1
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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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Water
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Method Performed
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Mechanical Agitation - Method A
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Mass of oven-dry sample in air for Sample 1
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2598.2 grams
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Mass of container submerged in water for Sample 1
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1393.3 grams
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Mass of the sample and container in water for Sample 1
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2889.8 grams
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Temperature of Water
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77 °F
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Specific Gravity for Sample 1
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2.358
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Theoretical maximum density at 25°C (77°F)
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146.8 lb/ft^3
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DIME Test ID: 2025-04-15-46-2
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: 04/22/2025
Date Tested: 04/17/2025
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: L4SL11A 88.8%
Test Result Compliance: does not comply
Additional Comments When Verified:
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Bulk Specific Gravity
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2.094
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DIME Test ID: 2025-04-15-46-3
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: 04/22/2025
Date Tested: 04/17/2025
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: L4 SL11B 92.2%
Test Result Compliance: complies
Additional Comments When Verified:
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Bulk Specific Gravity
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2.175
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