Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000369 DEA: 09378804 EFIS: 0919000002
QA Service Level: 1
DIST-CO-RTE-PM: 09-MNO-395-R9.8/R12.6
Work Description: PLACE HMA AND ASPHALT BASE, RECYCLE PAVEMENT AND MODIFY ELECTRICAL.
Location Description: MONO COUNTY NEAR TOM\\\\'S PLACE FROM 0.5 MILE NORTH OF LOWER ROCK CREEK ROAD TO 1.3 MILES SOUTH OF SOUTH LANDING OVERCROSSING
Contractor Name: HAT CREEK CONSTRUCTION & MATERIALS, INC.
Contractor Address: Unknown
Resident Engineer: David Carruba Structure Rep.: Unknown
DIME Sample ID: 2025-07-09-22
TL Number from the TL Form:
Sample Submitted By Organization: CT D09 - Bishop Field Laboratory
Sample Organization Contact: (760) 872-5211
Type of Sample: Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 07/09/2025
Date that the sample was received by the laboratory/organization performing the testing: 07/10/2025
The quantity of what the sample constitutes: 12 Boxes of HMA
A brief description of the sample: 3/4" HMA 58-34M R15
From where was the sample collected: Job Site
Laboratory sample identification: HMA-21
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite Five Bridges
DIME Test ID: 2025-07-09-22-1
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: 07/10/2025
Date Tested: 07/10/2025
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: HMA-21
Test Result Compliance: complies
Additional Comments When Verified:
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Number of Samples
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1
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What is the unit of measurement for theoretical density?
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US Units
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Mass Determination
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Air
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Method Performed
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Mechanical Agitation - Method A
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Mass of container filled with water 1
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7310.5 grams
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Mass of oven-dry sample in air for Sample 1
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2137.1 grams
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Mass of container filled with the sample and water for Sample 1
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8577 grams
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Temperature of Water
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77.1 °F
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Specific Gravity for Sample 1
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2.455
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Theoretical maximum density at 25°C (77°F)
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152.8 lb/ft^3
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DIME Test ID: 2025-07-09-22-2
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: 07/10/2025
Date Tested: 07/10/2025
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: HMA-21
Test Result Compliance: complies
Additional Comments When Verified:
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What temperature unit is used?
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Celsius
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Test procedure used?
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Method A
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Mass of the specimen basket assembly
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4274 g
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Mass of the specimen and specimen basket assembly prior to ignition
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6446.1 g
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Mass of HMA Sample prior to ignition
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2172.1 g
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Corrected Asphalt Binder Content
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4.59 %
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Mass Loss
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105.8 g
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Mass of aggregate remaining after ignition
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2066.3 g
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Correction Factor (Percent by mass of HMA Specimen)
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0.28 %
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Moisture Content
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no data0 %
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Temperature Compensation Factor
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no data0 %
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Test Temperature
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538 C
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