Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000778 DEA: 120U9704 EFIS: 1224000063
QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-22-0.0/R5.1
Work Description: PLACE JPCP(RSC) RANDOM, LCB, RHMA, REMOVE CONC PVMT AND BASE.
Location Description: ORANGE COUNTY FROM LOS ANGELES COUNTY LINE TO 0.1 MILE EAST OF ROUTE 22/605 SEPARATION AND FROM BOLSA CHICA ROAD OVERCROSSING TO 0.3 MILE EAST OF MAGNOLIA STREET UNDERCROSSING
Contractor Name: ALFARO COMMUNICATIONS CONSTRUCTION, INC.
Contractor Address: 15614 S ATLANTIC AVENUE, COMPTON CA 90221
Resident Engineer: Mike Ezzedine Structure Rep.: Matthew Chang
DIME Sample ID: 2025-09-05-45
TL Number from the TL Form:
Sample Submitted By Organization: CT D12 - Huntington Beach Field Laboratory
Sample Organization Contact: 9492798846
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 09/05/2025
Date that the sample was received by the laboratory/organization performing the testing: 09/05/2025
The quantity of what the sample constitutes: 1/2 RHMAG
A brief description of the sample: 1/2 RHMAG
From where was the sample collected: Manufacturer
Laboratory sample identification: 25-0880
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: RJ Noble Orange
DIME Test ID: 2025-09-05-45-1
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: 10/06/2025
Date Tested: 09/09/2025
Submitted By Organization: CT D12 - Huntington Beach Field Laboratory
Organization Address: 19601 Beach Boulevard,
Organization City: Huntington Beach
Organization State: CA
Organization Zipcode: 92648
Organization Email: frank.mai@dot.ca.gov
Organization Phone: (949) 279-8846
General Comments for this Test:
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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3892.4 g
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Mass of the specimen and specimen basket assembly prior to ignition
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5415.8 g
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Mass of HMA Sample prior to ignition
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1523.4 g
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Corrected Asphalt Binder Content
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8.24 %
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Mass Loss
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125.9 g
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Mass of aggregate remaining after ignition
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1397.5 g
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Correction Factor (Percent by mass of HMA Specimen)
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0.02 %
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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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DIME Test ID: 2025-09-05-45-2
Test Method: AASHTO T209-12: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)
Verified Date: 10/06/2025
Date Tested: 09/09/2025
Submitted By Organization: CT D12 - Huntington Beach Field Laboratory
Organization Address: 19601 Beach Boulevard,
Organization City: Huntington Beach
Organization State: CA
Organization Zipcode: 92648
Organization Email: frank.mai@dot.ca.gov
Organization Phone: (949) 279-8846
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
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Number of tests
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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
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7309 grams
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Mass of oven-dry sample in air for Sample 1
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1507.5 grams
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Mass of container filled with the sample and water for Sample 1
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8198.2 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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2.438
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Theoretical maximum density at 25°C (77°F)
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151.8 lb/ft^3
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DIME Test ID: 2025-09-05-45-3
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: 10/06/2025
Date Tested: 09/17/2025
Submitted By Organization: CT D12 - Huntington Beach Field Laboratory
Organization Address: 19601 Beach Boulevard,
Organization City: Huntington Beach
Organization State: CA
Organization Zipcode: 92648
Organization Email: frank.mai@dot.ca.gov
Organization Phone: (949) 279-8846
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
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Bulk Specific Gravity
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2.252
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