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Sample Record for 2025-12-09-12

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

Project Information

Project ID: 99999 DEA: 0322222 QA Service Level:
DIST-CO-RTE-PM: 03-SAC,OMG-888,99,80-0.6-0.6
Work Description: THIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Location Description: THIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Michael Maksimovich Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2025-12-09-12
TL Number from the TL Form:
Sample Submitted By Organization: ZZCT DIME Development Laboratory B - Bellflower - External
Sample Organization Contact:
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 12/09/2025
Date that the sample was received by the laboratory/organization performing the testing: 12/09/2025
The quantity of what the sample constitutes: 157 CY
A brief description of the sample: HMA
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Cemex

Material Information

HMA Type: Type A HMA
HMA Grading: 3/8 inch
Lot number:
Sublot number:
HMA Mix Number:
Binder content (%): 0.0
Virgin binder PG:
Design binder PG:
Binder Supplier:
RAP content (%):
WMA Additives:
Antistrip type:
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2025-12-09-12-1
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: 12/09/2025
Date Tested: 12/09/2025
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:
Number of Samples 1
What is the unit of measurement for theoretical density? SI Units
Mass Determination Air
Specific Gravity for Sample 1 0.004
Theoretical maximum density at 25°C (77°F) 4 kg/m^3