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Sample Record for 2025-09-17-30

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

Project Information

Project ID: 993798 DEA: 09366804 EFIS: 0916000021 QA Service Level: 1
DIST-CO-RTE-PM: 09-INY-395-117.3/117.9
Work Description: MEADOW FARMS ADA
Location Description: INYO COUNTY NEAR BISHOP FROM 0.1 MILE EAST OF SEE VEE LANE TO BARLOW LANE
Contractor Name: PAPICH CONSTRUCTION COMPANY, INC.
Contractor Address: P.O. BOX 2210, PISMO BEACH, CA 93448-2210
Resident Engineer: Adam Zumstein Structure Rep.: Mulugheta Belay

Sample Information

DIME Sample ID: 2025-09-17-30
TL Number from the TL Form:
Sample Submitted By Organization: CT D09 - Bishop Field Laboratory
Sample Organization Contact: (760) 872-5211
Type of Sample: Verification
Type of Material: Hot Mix Asphalt
Sample Taken Date: 09/17/2025
Date that the sample was received by the laboratory/organization performing the testing: 09/17/2025
The quantity of what the sample constitutes: 1 box,1 core
A brief description of the sample: 3/4” HMA Core
From where was the sample collected: Job Site
Laboratory sample identification: PSE CORE 1
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite 5 Bridges Plant Bishop

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number:
Sublot number:
HMA Mix Number:
Binder content (%): 0.0
Virgin binder PG:
Design binder PG:
Binder Supplier:
RAP content (%):
WMA Additives:
Antistrip type:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2025-09-17-30-1
Test Method: AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)
Verified Date: 09/19/2025
Date Tested: 09/18/2025
Submitted By Organization: CT D09 - Bishop Field Laboratory
Organization Address: 500 South Main Street,
Organization City: Bishop
Organization State: CA
Organization Zipcode: 93514
Organization Email: chris.talbot@dot.ca.gov
Organization Phone: (760) 872-0794
General Comments for this Test: Density: PSE CR-1A =97.4% Core Fails. Spec = 91.0 - 97.0
Test Result Compliance: does not comply
Additional Comments When Verified:
Percent Air Voids 2.6 %

Test 2 of 2

DIME Test ID: 2025-09-17-30-2
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: 09/19/2025
Date Tested: 09/18/2025
Submitted By Organization: CT D09 - Bishop Field Laboratory
Organization Address: 500 South Main Street,
Organization City: Bishop
Organization State: CA
Organization Zipcode: 93514
Organization Email: chris.talbot@dot.ca.gov
Organization Phone: (760) 872-0794
General Comments for this Test: PSE CR-1A
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.385