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Sample Record for 2025-04-22-112

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

Project Information

Project ID: 994121 DEA: 120P68U4 EFIS: 1218000105 QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-1-13.0/33.7
Work Description: COLD PLANE, PLACE RHMA AND MODIFY CURB RAMPS AND ELECTRICAL SYSTEMS.
Location Description: ORANGE COUNTY AT VARIOUS LOCATIONS FROM CRYSTAL HEIGHTS DRIVE TO LOS ANGELES/ORANGE COUNTY LINE
Contractor Name: CHUMO CONSTRUCTION INC.
Contractor Address: 4949 2nd St., Fallbrook, CA 92028
Resident Engineer: Christopher Blanco Structure Rep.: Vian Ghazi

Sample Information

DIME Sample ID: 2025-04-22-112
TL Number from the TL Form:
Sample Submitted By Organization: CT D12 - Huntington Beach Field Laboratory
Sample Organization Contact: 9492798846
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 04/22/2025
Date that the sample was received by the laboratory/organization performing the testing: 04/22/2025
The quantity of what the sample constitutes: 3/4 RWMAG
A brief description of the sample: 3/4 RWMAG
From where was the sample collected: Manufacturer
Laboratory sample identification: 25-0377
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: AAA Corona

Material Information

HMA Type: RHMA-G
HMA Grading: 3/4 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): 2

Test Results

Test 1 of 2

DIME Test ID: 2025-04-22-112-1
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: 06/23/2025
Date Tested: 04/22/2025
Submitted By Organization: CT D12 - Huntington Beach Field Laboratory
Organization Address: 19601 Beach Boulevard,
Organization City: Huntington Beach
Organization State: CA
Organization Zipcode: 92648
Organization Email: frank.mai@dot.ca.gov
Organization Phone: (949) 279-8846
General Comments for this Test:
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 7309 grams
Mass of oven-dry sample in air for Sample 1 2511.8 grams
Mass of container filled with the sample and water for Sample 1 8794.2 grams
Temperature of Water 77 °F
Specific Gravity for Sample 1 2.447
Theoretical maximum density at 25°C (77°F) 152.3 lb/ft^3

Test 2 of 2

DIME Test ID: 2025-04-22-112-2
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: 06/23/2025
Date Tested: 04/22/2025
Submitted By Organization: CT D12 - Huntington Beach Field Laboratory
Organization Address: 19601 Beach Boulevard,
Organization City: Huntington Beach
Organization State: CA
Organization Zipcode: 92648
Organization Email: frank.mai@dot.ca.gov
Organization Phone: (949) 279-8846
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 the specimen basket assembly 3954.3 g
Mass of the specimen and specimen basket assembly prior to ignition 5964.9 g
Mass of HMA Sample prior to ignition 2010.6 g
Corrected Asphalt Binder Content 7.71 %
Mass Loss 154.4 g
Mass of aggregate remaining after ignition 1856.2 g
Correction Factor (Percent by mass of HMA Specimen) -0.03 %
Moisture Content no data0 %
Temperature Compensation Factor no data0 %
Test Temperature 538 C