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Sample Record for 2025-09-17-84

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

Project Information

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

Sample Information

DIME Sample ID: 2025-09-17-84
TL Number from the TL Form:
Sample Submitted By Organization: CT D05 - Whitley Gardens Field Laboratory
Sample Organization Contact: 805-540-9933
Type of Sample: Acceptance
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: 722 Tons
A brief description of the sample: 3x HMA cores
From where was the sample collected: Job Site
Laboratory sample identification: 250917-L1 SL3
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Papich Construction

Material Information

HMA Type: RHMA-G
HMA Grading: 1/2 inch
Lot number: 1
Sublot number: 3
HMA Mix Number: 39AC12GGLMA
Binder content (%): 0.0
Virgin binder PG:
Design binder PG:
Binder Supplier:
RAP content (%):
WMA Additives:
Antistrip type:
Test results on following page(s): 4

Test Results

Test 1 of 4

DIME Test ID: 2025-09-17-84-1
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: 09/17/2025
Submitted By Organization: CT D05 - Whitley Gardens Field Laboratory
Organization Address: 102 South Whitley Gardens Drive,
Organization City: Paso Robles
Organization State: CA
Organization Zipcode: 93346
Organization Email: kyle.engen@dot.ca.gov
Organization Phone: (805) 540-9933
General Comments for this Test: L1 SL3A 91.7%
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.146

Test 2 of 4

DIME Test ID: 2025-09-17-84-2
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: 11/05/2025
Date Tested: 09/18/2025
Submitted By Organization: CT D05 - Whitley Gardens Field Laboratory
Organization Address: 102 South Whitley Gardens Drive,
Organization City: Paso Robles
Organization State: CA
Organization Zipcode: 93346
Organization Email: kyle.engen@dot.ca.gov
Organization Phone: (805) 540-9933
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 Water
Method Performed Mechanical Agitation - Method A
Mass of oven-dry sample in air for Sample 1 1756 grams
Mass of sample in water for Sample 1 1005.6 grams
Temperature of Water 77 °F
Specific Gravity for Sample 1 2.34
Theoretical maximum density at 25°C (77°F) 145.7 lb/ft^3

Test 3 of 4

DIME Test ID: 2025-09-17-84-3
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: 11/05/2025
Date Tested: 09/19/2025
Submitted By Organization: CT D05 - Whitley Gardens Field Laboratory
Organization Address: 102 South Whitley Gardens Drive,
Organization City: Paso Robles
Organization State: CA
Organization Zipcode: 93346
Organization Email: kyle.engen@dot.ca.gov
Organization Phone: (805) 540-9933
General Comments for this Test: L1 SL3B 92.0%
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.153

Test 4 of 4

DIME Test ID: 2025-09-17-84-4
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: 09/19/2025
Submitted By Organization: CT D05 - Whitley Gardens Field Laboratory
Organization Address: 102 South Whitley Gardens Drive,
Organization City: Paso Robles
Organization State: CA
Organization Zipcode: 93346
Organization Email: kyle.engen@dot.ca.gov
Organization Phone: (805) 540-9933
General Comments for this Test: L1 SL3C 92.0%
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.152