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Sample Record for 2025-08-04-100

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: 2025-08-04-100
TL Number from the TL Form:
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: 08/04/2025
Date that the sample was received by the laboratory/organization performing the testing: 09/15/2025
The quantity of what the sample constitutes: 750 Tons
A brief description of the sample: HMA boxes - L221154AM
From where was the sample collected: Job Site
Laboratory sample identification: 250804-L6SL1 Dispute
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: 6
Sublot number: 1
HMA Mix Number: L221154AM
Binder content (%): 0.0
Virgin binder PG:
Design binder PG:
Binder Supplier:
RAP content (%):
WMA Additives:
Antistrip type:
Test results on following page(s): 0

Test Results

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
2025-08-04-100-1AASHTO T209-12: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)09/15/2025Not scheduledKyle EngenCT D11 - District 11 Materials Laboratory
2025-08-04-100-2AASHTO T275-07r12: Standard Method of Test for Bulk Specific Gravity (Gmb) of Compacted Asphalt Mixtures Using Paraffin-Coated Specimens (Bulk Specific Gravity)09/15/2025Not scheduledKyle EngenCT D11 - District 11 Materials Laboratory
2025-08-04-100-3AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)09/15/2025Not scheduledKyle EngenCT D11 - District 11 Materials Laboratory