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Sample Record for 2025-01-31-48

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

Project Information

Project ID: 994443 DEA: 053307C4 EFIS: 0514000028 QA Service Level: 1
DIST-CO-RTE-PM: 05-SLO-41,46-44.5/45.3,54.0/57.8
Work Description: Wye Segment - Route 41/46 Separation
Location Description:
Contractor Name: Atkinson Construction
Contractor Address: 18201 Von Karman - Suite 800, Irvine, CA 92612
Resident Engineer: Brian Harrington Structure Rep.: Dave Lewis

Sample Information

DIME Sample ID: 2025-01-31-48
TL Number from the TL Form: 250131-L2SL34A
Sample Submitted By Organization: CT D05 - Whitley Gardens Field Laboratory
Sample Organization Contact: 805-540-9933
Type of Sample: Dispute Resolution
Type of Material: Hot Mix Asphalt
Sample Taken Date: 01/31/2025
Date that the sample was received by the laboratory/organization performing the testing: 02/04/2025
The quantity of what the sample constitutes: 250 tons
A brief description of the sample: 1x HMA core
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Papich Construction

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number: 2
Sublot number: 34
HMA Mix Number: L230077A
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: 2025-01-31-48-2
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: 07/18/2025
Date Tested: 07/17/2025
Submitted By Organization: CT D01 - District 1 Materials Laboratory
Organization Address: 1050 River Ranch Road,
Organization City: Fortuna
Organization State: California
Organization Zipcode: 95540
Organization Email: leif.ayres@dot.ca.gov
Organization Phone: (707) 496-0974
General Comments for this Test: L2SL34A 91.2%
Test Result Compliance:
Additional Comments When Verified:
Bulk Specific Gravity 2.224

Test 2 of 2

DIME Test ID: 2025-01-31-48-3
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: 07/18/2025
Date Tested: 07/17/2025
Submitted By Organization: CT D01 - District 1 Materials Laboratory
Organization Address: 1050 River Ranch Road,
Organization City: Fortuna
Organization State: California
Organization Zipcode: 95540
Organization Email: leif.ayres@dot.ca.gov
Organization Phone: (707) 496-0974
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Number of Samples 2
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 7403.4 grams
Mass of oven-dry sample in air for Sample 1 2255.5 grams
Mass of container filled with the sample and water for Sample 1 8735.3 grams
Mass of container filled with water 2 7403.4 grams
Mass of oven-dry sample in air for Sample 2 2211.3 grams
Mass of container filled with the sample and water for Sample 2 8707.1 grams
Temperature of Water 77 °F
Specific Gravity for Sample 1 2.442
Specific Gravity for Sample 2 2.436
Average Specific Gravity 2.439
Theoretical maximum density at 25°C (77°F) 151.8 lb/ft^3