Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000510 DEA: 060W79U4 EFIS: 0622000189
QA Service Level: 1
DIST-CO-RTE-PM: 06-KER,TUL-99-56.4/57.6,0.0/13.5
Work Description: RDWY EXC, HMA, AGGREGATE BASE, CRCP, SIGN STR, AND STR EXC.
Location Description: KERN AND TULARE COUNTIES IN AND NEAR DELANO FROM 0.2 MILE SOUTH OF CECIL AVENUE OVERCROSSING TO 0.7 MILE NORTH OF AVENUE 100 OVERCROSSING
Contractor Name: SECURITY PAVING COMPANY, INC.
Contractor Address: 2915 Fairhaven Drive, Bakersfield, CA 93308
Resident Engineer: Jake Garcia Structure Rep.: Raman Guraya
DIME Sample ID: 2025-11-05-40
TL Number from the TL Form:
Sample Submitted By Organization: CT D06 - Bakersfield Field Laboratory
Sample Organization Contact: 661-549-8281
Type of Sample: Acceptance
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: 11/06/2025
The quantity of what the sample constitutes: L1SL136
A brief description of the sample: 3/4" HMA(type A) with 25% Rap
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Deer Creek Porterville
HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number: 1
Sublot number: 136
HMA Mix Number: 25J012
Binder content (%): 4.2
Virgin binder PG: PG 64-16
Design binder PG: PG 70-10
Binder Supplier: San Juaquin Refinery
RAP content (%): 25
WMA Additives: No
Antistrip type: Lime
DIME Test ID: 2025-11-05-40-1
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: 11/07/2025
Date Tested: 11/07/2025
Submitted By Organization: CT D06 - Bakersfield Field Laboratory
Organization Address: 1824 Norris Road,
Organization City: Bakersfield
Organization State: CA
Organization Zipcode: 93308
Organization Email: kulwinder.rai@dot.ca.gov
Organization Phone: (661) 549-8281
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
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Bulk Specific Gravity
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2.52
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