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Sample Record for 2025-04-16-34

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: 2025-04-16-34
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: 04/16/2025
Date that the sample was received by the laboratory/organization performing the testing: 04/17/2025
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: 250416-L4SL12
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Papich Construction

Material Information

HMA Type: RHMA-G
HMA Grading: 3/4 inch
Lot number: 4
Sublot number: 12
HMA Mix Number: 39AC34GGASA
Binder content (%):
Virgin binder PG:
Design binder PG:
Binder Supplier:
RAP content (%):
WMA Additives:
Antistrip type:
Test results on following page(s): 5

Test Results

Test 1 of 5

DIME Test ID: 2025-04-16-34-1
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: 04/18/2025
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 2551.6 grams
Mass of container submerged in water for Sample 1 1393 grams
Mass of the sample and container in water for Sample 1 2863.9 grams
Temperature of Water 77 °F
Specific Gravity for Sample 1 2.361
Theoretical maximum density at 25°C (77°F) 147 lb/ft^3

Test 2 of 5

DIME Test ID: 2025-04-16-34-2
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: 04/18/2025
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: L4SL12A 92.0%
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.173

Test 3 of 5

DIME Test ID: 2025-04-16-34-3
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)
Submitted By Organization: CT D05 - Whitley Gardens Field Laboratory
Organization Address: 102 Whitley Gardens Drive,
Organization City: Paso Robles
Organization State: CA
Organization Zipcode: 93446
Organization Email: kyle.engen@dot.ca.gov
Organization Phone: 805-540-9933
This test has been superseded on 04/22/2025. The corrected test ID is: 2025-04-16-34-5
Reason: retested

Test 4 of 5

DIME Test ID: 2025-04-16-34-4
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: 04/22/2025
Date Tested: 04/18/2025
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 SL12C 90.9%
Test Result Compliance: does not comply
Additional Comments When Verified:
Bulk Specific Gravity 2.147

Test 5 of 5

DIME Test ID: 2025-04-16-34-5
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: 04/22/2025
Date Tested: 04/18/2025
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 SL12B 92.0%
The test was superseded from test ID: 2025-04-16-34-3
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.173