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Sample Record for 2025-11-04-15

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

Project Information

Project ID: 1000541 DEA: 09374704 EFIS: 0918000019 QA Service Level: 1
DIST-CO-RTE-PM: 09-INY-168,395-17.6/18.3,114.9/117.8
Work Description: HMA (TYPE A), MINOR CONCRETE, AND LIGHTING.
Location Description: INYO COUNTY IN AND NEAR BISHOP ON ROUTE 395 FROM 0.1 MILE SOUTH OF JAY STREET TO BARLOW LANE AND ON ROUTE 168 FROM PIONEER LANE TO ROUTE 395
Contractor Name: PAPICH CONSTRUCTION COMPANY, INC.
Contractor Address: P.O. BOX 2210, PISMO BEACH, CA 93448-2210
Resident Engineer: John Gentry Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2025-11-04-15
TL Number from the TL Form:
Sample Submitted By Organization: CT D09 - Bishop Field Laboratory
Sample Organization Contact: (760) 872-5211
Type of Sample: Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 11/04/2025
Date that the sample was received by the laboratory/organization performing the testing: 11/04/2025
The quantity of what the sample constitutes: 1 box 1 core
A brief description of the sample: 1 HMA core
From where was the sample collected: Job Site
Laboratory sample identification: CR-01
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: 2025-11-04-15-3
Test Method: AASHTO T269-24E25: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)
Verified Date: 11/05/2025
Date Tested: 11/05/2025
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: CR-01. Density: 1A=89.9% FAILS. 1B=94.7%.
Test Result Compliance: does not comply
Additional Comments When Verified:
Percent Air Voids 10.1 %
Percent Air Voids 2 5.4 %
Average Percent Air Voids 7.8 %
Average Core Density 92.2 %

Test 2 of 2

DIME Test ID: 2025-11-04-15-4
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: 11/05/2025
Date Tested: 11/05/2025
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: CR-01
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.2
Bulk Specific Gravity 2 2.317
Average Bulk Specific Gravity 2.259