Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 9999 DEA: 00000000 EFIS: 0000000000 COOP: 99999333399 MINOR: 333333 Permit Numbers: 555555 0400NRT0000
QA Service Level: 1
DIST-CO-RTE-PM: 03-SAC,OMG-888,99,80-0.6-0.6
Work Description: THIS PROJECT RECORD WAS ADDED FOR DIME DEVELOPERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Location Description: THIS PROJECT RECORD WAS ADDED FOR DIME DEVELOPERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Contractor Name: YYZ
Contractor Address: 1234 address, Sacramento, CA 95824
Resident Engineer: RE_first RE_last Structure Rep.: SR_First SR_Last
DIME Sample ID: 2025-11-07-20
TL Number from the TL Form:
Sample Submitted By Organization: ZZCT DIME Development Laboratory B - Bellflower - External
Sample Organization Contact:
Type of Sample: Quality Control
Type of Material: Hot Mix Asphalt
Sample Taken Date: 11/07/2025
Date that the sample was received by the laboratory/organization performing the testing: 11/07/2025
The quantity of what the sample constitutes: 4 boxes
A brief description of the sample: test
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: test plant
DIME Test ID: 2025-11-07-20-1
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: 11/07/2025
Submitted By Organization: ZZCT DIME Development Laboratory B - Bellflower - External
Organization Address: 123654 Norwalk Bouldevard,
Organization City: Bellflower
Organization State: CA
Organization Zipcode: 90725
Organization Email:
Organization Phone:
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
|
What temperature unit is used?
|
Fahrenheit
|
|
Test procedure used?
|
Method A
|
|
Corrected Asphalt Binder Content
|
5 %
|
|
Mass of HMA Sample prior to ignition
|
100 g
|
|
Mass Loss
|
10 g
|
|
Correction Factor (Percent by mass of HMA Specimen)
|
no data0 %
|
|
Moisture Content
|
no data0 %
|
|
Temperature Compensation Factor
|
no data0 %
|
|
Test Temperature
|
530 F
|