Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000682 DEA: 09379104 EFIS: 0919000005
QA Service Level: 1
DIST-CO-RTE-PM: 09-INY-395-91.6/100.8
Work Description: CONSTRUCT HMA, CURB RAMPS, AND ELECTRICAL SYSTEMS.
Location Description: INYO COUNTY AT AND NEAR BIG PINE FROM 0.1 MILE SOUTH OF ELNA ROAD TO SOUTH JUNCTION ROUTE 168
Contractor Name: ROAD AND HIGHWAY BUILDERS, LLC.
Contractor Address: P.O. Box 70846, Reno, N V, 89570
Resident Engineer: Adam Zumstein Structure Rep.: Unknown
DIME Sample ID: 2025-11-05-30
TL Number from the TL Form:
Sample Submitted By Organization: CT D09 - Bishop Field Laboratory
Sample Organization Contact: (760) 872-5211
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 11/05/2025
Date that the sample was received by the laboratory/organization performing the testing: 11/05/2025
The quantity of what the sample constitutes: Up to 750 Tons
A brief description of the sample: HMA171
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: RHB Plant Independence
DIME Test ID: 2025-11-05-30-1
Test Method: AASHTO T209-25: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)
Verified Date: 11/07/2025
Date Tested: 11/06/2025
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: HMA-171
Test Result Compliance: complies
Additional Comments When Verified:
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Number of Samples
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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 1
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7310.5 grams
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Mass of oven-dry sample in air for Sample 1
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2135.7 grams
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Mass of container filled with the sample and water for Sample 1
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8588.1 grams
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Temperature of Water
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77.1 °F
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Specific Gravity for Sample 1
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2.489
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Theoretical maximum density at 25°C (77°F)
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154.9 lb/ft^3
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DIME Test ID: 2025-11-05-30-2
Test Method: AASHTO T30-25: Standard Method of Test for Mechanical Analysis of Extracted Aggregate (Mechanical Analysis)
Verified Date: 11/07/2025
Date Tested: 11/06/2025
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: HMA-171 PP Gradation
Test Result Compliance: complies
Additional Comments When Verified:
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Is an aggregate correction factor used?
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Yes
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Aggregate correction factor for the 2 in. sieve (% passing)
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no data0 %
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Aggregate correction factor for the 1 1/2 in. sieve (% passing)
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no data0 %
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Aggregate correction factor for the 1 in. sieve (% passing)
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no data0 %
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Aggregate correction factor for the 3/4 in. sieve (% passing)
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no data0 %
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Aggregate correction factor for the 1/2 in. sieve (% passing)
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no data0 %
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Aggregate correction factor for the 3/8 in. sieve (% passing)
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no data0 %
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Aggregate correction factor for the #4 sieve (% passing)
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no data0 %
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Aggregate correction factor for the #8 sieve (% passing)
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no data0 %
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Aggregate correction factor for the #16 sieve (% passing)
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no data0 %
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Aggregate correction factor for the #30 sieve (% passing)
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no data0 %
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Aggregate correction factor for the #50 sieve (% passing)
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0.3 %
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Aggregate correction factor for the #100 sieve (% passing)
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0.3 %
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Aggregate correction factor for the #200 sieve (% passing)
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1 %
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DIME Test ID: 2025-11-05-30-3
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)
Verified Date: 11/07/2025
Date Tested: 11/06/2025
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: HMA-171
Test Result Compliance: complies
Additional Comments When Verified:
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What temperature unit is used?
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Celsius
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Test procedure used?
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Method A
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Mass of the specimen basket assembly
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4255.5 g
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Mass of the specimen and specimen basket assembly prior to ignition
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6453.7 g
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Corrected Asphalt Binder Content
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4.79 %
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Mass of HMA Sample prior to ignition
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2198.2 g
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Mass Loss
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113.7 g
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Mass of aggregate remaining after ignition
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2084.5 g
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Correction Factor (Percent by mass of HMA Specimen)
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0.38 %
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Moisture Content
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no data0 %
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Temperature Compensation Factor
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no data0 %
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Test Temperature
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538 C
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