Project Information

Project ID: 1000612 DEA: 120R57U4 EFIS: 1223000131 QA Service Level: 1

DIST-CO-RTE-PM: 12-ORA-405-11.4/24.2

Work Description: PLACE JPCP (RSC) AND RHMA, AND MODIFY ELECTRICAL SYSTEMS.

Location Description: ORANGE COUNTY FROM HARBOR BOULEVARD UNDERCROSSING IN COSTA MESA TO LOS ANGELES COUNTY LINE AT ROSSMOOR

Contractor Name: SECURITY PAVING COMPANY, INC.

Contractor Address: 9050 Norris Ave. #200, Westlake Village, CA 91361

Resident Engineer: Dennis Nguyen Structure Rep.: maribel Munoz Blanco

Sample Information

DIME Sample ID: 2025-10-30-16

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: 10/30/2025

Date that the sample was received by the laboratory/organization performing the testing: 10/30/2025

The quantity of what the sample constitutes: 3/4 RHMAG

A brief description of the sample: 3/4 RHMAG

From where was the sample collected: Manufacturer

Laboratory sample identification:

Structure unique identifier:

Structure name:

The fabricator/manufacturer/facility name: Vulcan Irwindale

Material Information

HMA Type: RHMA-G

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

Test 1 of 2

DIME Test ID: 2025-10-30-16-1

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: 11/03/2025

Date Tested: 10/31/2025

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:

Number of tests	1
What is the unit of measurement for theoretical density?	US Units
Mass Determination	Air
Method Performed	Mechanical Agitation - Method A
Mass of container filled with water	7309 grams
Mass of oven-dry sample in air for Sample 1	2509.7 grams
Mass of container filled with the sample and water for Sample 1	8803.4 grams
Temperature of Water	77 °F
Specific Gravity for Sample 1	2.472
Theoretical maximum density at 25°C (77°F)	153.9 lb/ft^3

Test 2 of 2

DIME Test ID: 2025-10-30-16-2

Test Method: AASHTO T308-25: Standard Method of Test for Determining the Asphalt Binder Content of Hot Mix Asphalt (HMA) by the Ignition Method (Method A) (Asphalt Binder Content)