Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000540 DEA: 051Q03U4 EFIS: 0524000192
QA Service Level: 1
DIST-CO-RTE-PM: 05-SLO,KER-46-60.3/60.8,0.0/0.4
Work Description: VERTICAL CURVE AND EXTEND EXISTING TRUCK CLIMBING LANE.
Location Description: SAN LUIS OBISPO AND KERN COUNTIES NEAR CHOLAME FROM 2.0 MILES EAST OF ANTELOPE ROAD TO 0.4 MILE EAST OF THE KERN COUNTY LINE.
Contractor Name: PAPICH CONSTRUCTION COMPANY, INC.
Contractor Address: Unknown
Resident Engineer: Andrew Borelli Structure Rep.: Unknown
DIME Sample ID: 2025-08-21-89
TL Number from the TL Form:
Sample Submitted By Organization: CT D11 - District 11 Materials Laboratory
Sample Organization Contact: (858) 518-8709
Type of Sample: Dispute Resolution
Type of Material: Hot Mix Asphalt
Sample Taken Date: 08/21/2025
Date that the sample was received by the laboratory/organization performing the testing: 09/10/2025
The quantity of what the sample constitutes: 3 boxes
A brief description of the sample: Dispute Core 5A
From where was the sample collected: Supplier
Laboratory sample identification: 25-08-21-89-A
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Sierra Pacific - Avenal
HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number: 2
Sublot number: 5
HMA Mix Number: 39AC34LMA
Binder content (%): 0.0
Virgin binder PG: PG 64-16
Design binder PG: PG 64-16
Binder Supplier: SJR
RAP content (%): 0
WMA Additives: Yes
Antistrip type: Dry Lime
DIME Test ID: 2025-08-21-89-1
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: 10/08/2025
Date Tested: 10/08/2025
Submitted By Organization: CT D11 - District 11 Materials Laboratory
Organization Address: 4050 Taylor Street,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92110
Organization Email: benjamin.haney@dot.ca.gov
Organization Phone: (858) 688-1595
General Comments for this Test: Complies Target 2.453 Tested 2.432
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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7475.6 grams
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Mass of oven-dry sample in air for Sample 1
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2549.7 grams
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Mass of container filled with the sample and water for Sample 1
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8976.7 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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2.432
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Theoretical maximum density at 25°C (77°F)
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151.4 lb/ft^3
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