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Sample Record for 2025-04-30-2

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

Project Information

Project ID: 214135 DEA: 09213404 EFIS: 0900000030 QA Service Level: 1
DIST-CO-RTE-PM: 09-INY-395-29.9/41.8
Work Description: ROADWAY EXCAVATION, PLACE HMA (TYPE A), AND ALTERNATIVE PIPE CULVERT.
Location Description: INYO COUNTY NEAR OLANCHA AND CARTAGO FROM 1.4 MILES SOUTH OF LOS ANGELES AQUEDUCT BRIDGE TO 0.2 MILE SOUTH OF ASH CREEK BRIDGE
Contractor Name: FISHER SAND & GRAVEL CO.
Contractor Address: 1302 W DRIVERS WAY, TEPE, AZ. 85284
Resident Engineer: Kris Raber Structure Rep.: Sheila Reyes

Sample Information

DIME Sample ID: 2025-04-30-2
TL Number from the TL Form:
Sample Submitted By Organization: CT D09 - Bishop Field Laboratory
Sample Organization Contact: (760) 872-5211
Type of Sample: Production Start-Up
Type of Material: Hot Mix Asphalt
Sample Taken Date: 04/30/2025
Date that the sample was received by the laboratory/organization performing the testing: 04/30/2025
The quantity of what the sample constitutes: 8 boxes
A brief description of the sample: 1/2" HMA
From where was the sample collected: Job Site
Laboratory sample identification: PSU-F1
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Fisher Sand and Gravel

Material Information

HMA Type: Type A HMA
HMA Grading: 1/2 inch
Lot number:
Sublot number:
HMA Mix Number:
Binder content (%):
Virgin binder PG:
Design binder PG:
Binder Supplier:
RAP content (%):
WMA Additives:
Antistrip type:
Test results on following page(s): 4

Test Results

Test 1 of 4

DIME Test ID: 2025-04-30-2-2
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: 05/01/2025
Date Tested: 05/01/2025
Submitted By Organization: CT D09 - Bishop Field Laboratory
Organization Address: 500 South Main Street,
Organization City: Bishop
Organization State: CA
Organization Zipcode: 93514
Organization Email: chris.talbot@dot.ca.gov
Organization Phone: (760) 872-0794
General Comments for this Test: PSU-F1
Test Result Compliance: complies
Additional Comments When Verified:
Number of Samples 1
What is the unit of measurement for theoretical density? US Units
Mass Determination Air
Method Performed Mechanical Agitation - Method A
Mass of container filled with water 1 7310.5 grams
Mass of oven-dry sample in air for Sample 1 2182 grams
Mass of container filled with the sample and water for Sample 1 8613.4 grams
Temperature of Water 76.9 °F
Specific Gravity for Sample 1 2.482
Theoretical maximum density at 25°C (77°F) 154.5 lb/ft^3

Test 2 of 4

DIME Test ID: 2025-04-30-2-3
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: 05/01/2025
Date Tested: 05/01/2025
Submitted By Organization: CT D09 - Bishop Field Laboratory
Organization Address: 500 South Main Street,
Organization City: Bishop
Organization State: CA
Organization Zipcode: 93514
Organization Email: chris.talbot@dot.ca.gov
Organization Phone: (760) 872-0794
General Comments for this Test: PSU-F1
Test Result Compliance: complies
Additional Comments When Verified:
What temperature unit is used? Celsius
Test procedure used? Method A
Mass of the specimen basket assembly 4273.8 g
Mass of the specimen and specimen basket assembly prior to ignition 6331.2 g
Mass of HMA Sample prior to ignition 2057.4 g
Corrected Asphalt Binder Content 5.11 %
Mass Loss 109.1 g
Mass of aggregate remaining after ignition 1948.3 g
Correction Factor (Percent by mass of HMA Specimen) 0.19 %
Moisture Content no data0 %
Temperature Compensation Factor no data0 %
Test Temperature 538 C

Test 3 of 4

DIME Test ID: 2025-04-30-2-4
Test Method: AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)
Verified Date: 05/01/2025
Date Tested: 05/01/2025
Submitted By Organization: CT D09 - Bishop Field Laboratory
Organization Address: 500 South Main Street,
Organization City: Bishop
Organization State: CA
Organization Zipcode: 93514
Organization Email: chris.talbot@dot.ca.gov
Organization Phone: (760) 872-0794
General Comments for this Test: PSU-F1
Test Result Compliance: complies
Additional Comments When Verified:
Percent Air Voids 3.5 %
Percent Air Voids 2 3.5 %
Percent Air Voids 3 3.7 %
Average Percent Air Voids 3.6 %

Test 4 of 4

DIME Test ID: 2025-04-30-2-5
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: 05/01/2025
Date Tested: 05/01/2025
Submitted By Organization: CT D09 - Bishop Field Laboratory
Organization Address: 500 South Main Street,
Organization City: Bishop
Organization State: CA
Organization Zipcode: 93514
Organization Email: chris.talbot@dot.ca.gov
Organization Phone: (760) 872-0794
General Comments for this Test: PSU-1F
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.395
Bulk Specific Gravity 2 2.395
Bulk Specific Gravity 3 2.391
Average Bulk Specific Gravity 2.394

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
2025-04-30-2-1AASHTO T166-16: Standard Method of Test for Bulk Specific Gravity (Gmb) of Compacted Asphalt Mixtures Using Saturated Surface-Dry Specimens (Method A)04/30/2025Not scheduledColton CarringtonCT D09 - Bishop Field LaboratoryDerek Carrington
2025-04-30-2-6AASHTO T324-14: Standard Method of Test for Hamburg Wheel-Track Testing of Compacted Asphalt Mixtures (Hamburg Wheel Track)04/30/2025Not scheduledColton CarringtonCT D09 - Bishop Field LaboratoryDerek Carrington