Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1001035 DEA: 120U9104 EFIS: 1224000049
QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-73-23.5/23.8
Work Description: CONSTRUCT CONCRETE BARRIER AND INSTALL DRAINAGE SYSTEM.
Location Description: ORANGE COUNTY IN IRVINE FROM BISON AVENUE OVERCROSSING TO MACARTHUR BOULEVARD OVERCROSSING
Contractor Name: CHUMO CONSTRUCTION, INC.
Contractor Address: Unknown
Resident Engineer: Arash Eskandari Structure Rep.: Unknown
DIME Sample ID: 2025-09-08-34
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: 09/08/2025
Date that the sample was received by the laboratory/organization performing the testing: 09/09/2025
The quantity of what the sample constitutes: 3/4 HMA-A
A brief description of the sample: 3/4 HMA-A
From where was the sample collected: Manufacturer
Laboratory sample identification: 25-0883
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: AAA Corona
DIME Test ID: 2025-09-08-34-1
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:
|
Bulk Specific Gravity
|
2.402
|
