Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000113 DEA: 060U5004 EFIS: 0615000300
QA Service Level: 1
DIST-CO-RTE-PM: 06-KER-5-10.2/16.0
Work Description: INDIVIDUAL SLAB REPLACEMENT (RSC), HMA (TYPE A) AND RHMA (GAP GRADED).
Location Description: KERN COUNTY AT AND NEAR WHEELER RIDGE FROM GRAPEVINE UNDERCROSSING TO ROUTE 5/99 SEPARATION
Contractor Name: Security Paving Company, Inc. (TJ Mattivi)
Contractor Address: Unknown
Resident Engineer: Robert Decker Structure Rep.: Albert Heredia
DIME Sample ID: 2025-06-26-26
TL Number from the TL Form:
Sample Submitted By Organization: CT D06 - Bakersfield Field Laboratory
Sample Organization Contact: 661-549-8281
Type of Sample: Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 06/26/2025
Date that the sample was received by the laboratory/organization performing the testing: 06/27/2025
The quantity of what the sample constitutes: L1SL50
A brief description of the sample: 3/4" HMA Type A w 25% RAP
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite Solari
DIME Test ID: 2025-06-26-26-1
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: 06/27/2025
Date Tested: 06/27/2025
Submitted By Organization: CT D06 - Bakersfield Field Laboratory
Organization Address: 1824 Norris Road,
Organization City: Bakersfield
Organization State: CA
Organization Zipcode: 93308
Organization Email: kulwinder.rai@dot.ca.gov
Organization Phone: (661) 549-8281
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
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Bulk Specific Gravity
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2.367
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