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: 2025-07-10-36
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: 07/10/2025
Date that the sample was received by the laboratory/organization performing the testing: 07/11/2025
The quantity of what the sample constitutes: 3 Cores (22A, 22B, 22C)
A brief description of the sample: 3/4" HMA 58-34M R15
From where was the sample collected: Job Site
Laboratory sample identification: HMA Cores 22
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite Five Bridges
DIME Test ID: 2025-07-10-36-1
Test Method: AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)
Verified Date: 07/11/2025
Date Tested: 07/11/2025
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: Density: CR-22A=93.3%, CR-22B=93.5%, CR-22C=92.4%
Test Result Compliance: complies
Additional Comments When Verified:
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Percent Air Voids
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6.7 %
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Percent Air Voids 2
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6.5 %
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Percent Air Voids 3
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7.6 %
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Average Percent Air Voids
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6.9 %
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Average Core Density
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93.1 %
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