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Sample Record for 2025-04-24-27

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 1000681 DEA: 081J7204 EFIS: 0818000099 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-40-S0.0/S0.8,0.0/R15.0
Work Description: REPLACE AC SURFACING, COLD PLANE AC PAVEMENT, HMA, RSP, AND MGS.
Location Description: SAN BERNARDINO COUNTY IN AND NEAR BARSTOW FROM 0.1 MILE WEST OF ROBERTA STREET TO MONTARA ROAD AND FROM ROUTE 15 TO 0.4 MILE EAST OF LAVA WASH BRIDGE
Contractor Name: SULLY-MILLER CONTRACTING COMPANY
Contractor Address: Unknown
Resident Engineer: Khoa Nguyen Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2025-04-24-27
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: Production Start-Up
Type of Material: Hot Mix Asphalt
Sample Taken Date: 04/24/2025
Date that the sample was received by the laboratory/organization performing the testing: 04/29/2025
The quantity of what the sample constitutes: 28 BXRHMA 4 QTS BLND OIL PG64-16 2 BGS LT AGG 3 BGS VRGN 3/4 1/2 3/8 2 BGS VRGN SND
A brief description of the sample: 3/4" RHMA G SP 1.0% LSM
From where was the sample collected: Manufacturer
Laboratory sample identification: 0258G-25
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Blue Diamond-Victorville

Material Information

HMA Type: RHMA-G
HMA Grading: 3/4 inch
Lot number:
Sublot number:
HMA Mix Number: 300072 LSM
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: 2025-04-24-27-1
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: 05/30/2025
Date Tested: 05/06/2025
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: not applicable
Additional Comments When Verified:
Bulk Specific Gravity 2.324

Test 2 of 5

DIME Test ID: 2025-04-24-27-2
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: 05/30/2025
Date Tested: 05/09/2025
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: not applicable
Additional Comments When Verified:
Number of Samples 1
What is the unit of measurement for theoretical density? SI Units
Mass Determination Air
Specific Gravity for Sample 1 2.324
Theoretical maximum density at 25°C (77°F) 2407 kg/m^3

Test 3 of 5

DIME Test ID: 2025-04-24-27-3
Test Method: AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)
Verified Date: 05/30/2025
Date Tested: 05/06/2025
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:
Percent Air Voids 3.4 %

Test 4 of 5

DIME Test ID: 2025-04-24-27-4
Test Method: CTM 389-19: Method of Test for Hamburg Wheel-Track Testing of Compacted Hot Mix Asphalt
Verified Date: 05/30/2025
Date Tested: 05/06/2025
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: not applicable
Additional Comments When Verified:
Specimen Preparation Method no data
Average impression at 5000 passes (left/right avg) 1.8 mm
Average impression at 10000 passes (left/right avg) 2.1 mm
Average impression at 15000 passes (left/right avg) 2.4 mm
Average impression at 20000 passes (left/right avg) no data
Average impression at 25000 passes (left/right avg) no data

Test 5 of 5

DIME Test ID: 2025-04-24-27-5
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: 05/30/2025
Date Tested: 05/13/2025
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:
What temperature unit is used? Celsius
Test procedure used? Method A
Mass of HMA Sample prior to ignition 2238 g
Corrected Asphalt Binder Content 7.44 %
Mass Loss 174.2 g
Correction Factor (Percent by mass of HMA Specimen) 0.17 %
Moisture Content no data0 %
Temperature Compensation Factor 0.15 %
Test Temperature 538 C