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Sample Record for 2025-12-02-24

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

Project Information

Project ID: 994443 DEA: 053307C4 EFIS: 0514000028 QA Service Level: 1
DIST-CO-RTE-PM: 05-SLO-41,46-44.5/45.3,54.0/57.8
Work Description: Wye Segment - Route 41/46 Separation
Location Description:
Contractor Name: Atkinson Construction
Contractor Address: 18201 Von Karman - Suite 800, Irvine, CA 92612
Resident Engineer: Brian Harrington Structure Rep.: Dave Lewis

Sample Information

DIME Sample ID: 2025-12-02-24
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: 12/02/2025
Date that the sample was received by the laboratory/organization performing the testing: 12/04/2025
The quantity of what the sample constitutes: 750 Tons
A brief description of the sample: 3 HMA cores
From where was the sample collected: Job Site
Laboratory sample identification: 251202-L2SL95 ABC
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Papich Construction

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number: 2
Sublot number: 95
HMA Mix Number: L230077A
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: 2025-12-02-24-1
Test Method: AASHTO T209-22: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)
Verified Date: 12/05/2025
Date Tested: 12/03/2025
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 Samples 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 2521.8 grams
Mass of container submerged in water for Sample 1 1392.5 grams
Mass of the sample and container in water for Sample 1 2874.5 grams
Temperature of Water 77 °F
Specific Gravity for Sample 1 2.425
Theoretical maximum density at 25°C (77°F) 150.9 lb/ft^3

Test 2 of 4

DIME Test ID: 2025-12-02-24-2
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: 12/05/2025
Date Tested: 12/04/2025
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: L2 SL95A 93.2%
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.26

Test 3 of 4

DIME Test ID: 2025-12-02-24-3
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: 12/05/2025
Date Tested: 12/04/2025
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: L2 SL95B 92.8%
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.25

Test 4 of 4

DIME Test ID: 2025-12-02-24-4
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: 12/05/2025
Date Tested: 12/04/2025
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: L2 SL95C 93.9%
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.278