Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000784 DEA: 07356504 EFIS: 0719000023
QA Service Level: 1
DIST-CO-RTE-PM: 07-VEN-126-R14.6/R34.5
Work Description: INSTALL DPP INFILTRATION AREA AND HOT MIX ASPHALT.
Location Description: VENTURA COUNTY IN AND NEAR FILLMORE AT VARIOUS LOCATIONS FROM HALLOCK DRIVE TO 0.1 MILE WEST OF THE LOS ANGELES COUNTY LINE
Contractor Name: ACCU CONSTRUCTION, INC.
Contractor Address: 14751 Plaza Drive, Suite L, Tustin, CA 92780, Tustin, CA, 92780
Resident Engineer: Ranjit singh Structure Rep.: Unknown
DIME Sample ID: 2025-05-15-91
TL Number from the TL Form: 051525A
Sample Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Sample Organization Contact: (213) 817-0387
Type of Sample: Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 05/15/2025
Date that the sample was received by the laboratory/organization performing the testing: 06/05/2025
The quantity of what the sample constitutes: 750 Tons
A brief description of the sample: 3/4" HMA-A
From where was the sample collected: Manufacturer
Laboratory sample identification: 25-207
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite Santa Paula
HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number:
Sublot number:
HMA Mix Number: 14342
Binder content (%): 4.6
Virgin binder PG: PG58-16
Design binder PG: PG58-16
Binder Supplier: San Juaquin Refinery
RAP content (%):
WMA Additives:
Antistrip type:
DIME Test ID: 2025-05-15-91-1
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: 08/19/2025
Date Tested: 06/05/2025
Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Organization Address: 1940 South Workman Mill Road,
Organization City: Whittier
Organization State: CA
Organization Zipcode: 90601
Organization Email: chad.chotibhongs@dot.ca.gov
Organization Phone: (213) 407-6963
General Comments for this Test:
Test Result Compliance: not applicable
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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7353.3 grams
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Mass of oven-dry sample in air for Sample 1
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2543.8 grams
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Mass of container filled with the sample and water for Sample 1
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8873.9 grams
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Temperature of Water
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77 °F
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Specific Gravity for Sample 1
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2.486
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Theoretical maximum density at 25°C (77°F)
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154.7 lb/ft^3
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