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Sample Record for 2025-06-19-106

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

Project Information

Project ID: 1000661 DEA: 081J2704 EFIS: 0818000014 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-247-0.0/23.0
Work Description: RUBBERIZED HMA, HMA (TYPE A), COLD PLANE AC PVMT & REPLACE AC SURF.
Location Description: SAN BERNARDINO COUNTY IN YUCCA VALLEY FROM ROUTE 62 TO 0.4 MILE WEST OF GIN ROAD
Contractor Name: SULLY-MILLER CONTRACTING COMPANY
Contractor Address: 135 S State College Blvd, Brea, CA 92821
Resident Engineer: Walid Saoud Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2025-06-19-106
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Barstow Field Laboratory 1
Sample Organization Contact: (760) 252-9216
Type of Sample: Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 06/19/2025
Date that the sample was received by the laboratory/organization performing the testing: 06/20/2025
The quantity of what the sample constitutes: 1 Box, 5 Cores
A brief description of the sample: 3/4" HMA -A
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Blue Diamond-Victorville

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number:
Sublot number:
HMA Mix Number: 300154 R25 LSM
Binder content (%): 0.0
Virgin binder PG: PG 64-16
Design binder PG:
Binder Supplier:
RAP content (%):
WMA Additives:
Antistrip type:
Test results on following page(s): 3

Test Results

Test 1 of 3

DIME Test ID: 2025-06-19-106-1
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: 09/05/2025
Date Tested: 06/24/2025
Submitted By Organization: CT D08 - Barstow Field Laboratory 1
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: kaushalkumar.talati@dot.ca.gov
Organization Phone: (951) 840-8328
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Number of Samples 1
What is the unit of measurement for theoretical density? SI Units
Mass Determination Air
Specific Gravity for Sample 1 2.485
Theoretical maximum density at 25°C (77°F) 2478 kg/m^3

Test 2 of 3

DIME Test ID: 2025-06-19-106-2
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: 09/05/2025
Date Tested: 06/24/2025
Submitted By Organization: CT D08 - Barstow Field Laboratory 1
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: kaushalkumar.talati@dot.ca.gov
Organization Phone: (951) 840-8328
General Comments for this Test: Core: 1,2,3
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.371
Bulk Specific Gravity 2 2.357
Bulk Specific Gravity 3 2.365
Average Bulk Specific Gravity 2.364

Test 3 of 3

DIME Test ID: 2025-06-19-106-3
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: 09/05/2025
Date Tested: 06/24/2025
Submitted By Organization: CT D08 - Barstow Field Laboratory 1
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: kaushalkumar.talati@dot.ca.gov
Organization Phone: (951) 840-8328
General Comments for this Test: Core: 4, 5
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.314
Bulk Specific Gravity 2 2.373
Average Bulk Specific Gravity 2.344