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Sample Record for 2025-07-15-155

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Project Information

Project ID: 995493 DEA: 081G6704 EFIS: 0816000049 QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-79-5.4/11.4
Work Description: HOT MIX ASPHALT, SOIL NAIL, STRUCTURAL CONCRETE AND ROADWAY EXC.
Location Description: RIVERSIDE COUNTY NEAR TEMECULA FROM 0.4 MILE SOUTH OF SAGE ROAD TO 1.1 MILES SOUTH OF PAUBA ROAD
Contractor Name: ORTIZ ENTERPRISES, INC.
Contractor Address: 6 CUSHING STE 200, IRVINE, CA 92618
Resident Engineer: Osama Abdalla Structure Rep.: Arnel Vega

Sample Information

DIME Sample ID: 2025-07-15-155
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Sample Organization Contact: 9512323690
Type of Sample: Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 07/15/2025
Date that the sample was received by the laboratory/organization performing the testing: 07/16/2025
The quantity of what the sample constitutes: 1 box, 6 cores
A brief description of the sample: 3/4" HMA A SP
From where was the sample collected: Job Site
Laboratory sample identification: 1A7, 1B7, 1C7, 1A8, 1B8, 1C8
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: R.J. Noble Co. — Corona

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number:
Sublot number:
HMA Mix Number: 36R2503SPWEC
Binder content (%): 0.0
Virgin binder PG:
Design binder PG:
Binder Supplier:
RAP content (%):
WMA Additives:
Antistrip type:
Test results on following page(s): 3

Test Results

Test 1 of 3

DIME Test ID: 2025-07-15-155-1
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: 11/04/2025
Date Tested: 07/18/2025
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Number of tests 1
What is the unit of measurement for theoretical density? US Units
Mass Determination Air
Specific Gravity for Sample 1 2.448
Theoretical maximum density at 25°C (77°F) 152.4 lb/ft^3

Test 2 of 3

DIME Test ID: 2025-07-15-155-2
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: 11/04/2025
Date Tested: 07/17/2025
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test: 1A7, 1B7, 1C7
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.353
Bulk Specific Gravity 2 2.336
Bulk Specific Gravity 3 2.34
Average Bulk Specific Gravity 2.343

Test 3 of 3

DIME Test ID: 2025-07-15-155-3
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: 11/04/2025
Date Tested: 07/17/2025
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test: 1A8, 1B8, 1C8
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.357
Bulk Specific Gravity 2 2.373
Bulk Specific Gravity 3 2.342
Average Bulk Specific Gravity 2.357