Project Information

Project ID: 215220 DEA: 07210624 EFIS: 0719000068 QA Service Level: 1

DIST-CO-RTE-PM: 07-LA,SBD-71-1.8/R4.7&R0.0/R0.2

Work Description: PLACE STRUCTURE CONCRETE RETAINING WALLS & BOX CULVERT AND PLACE JPCP.

Location Description: IN LOS ANGELES AND SAN BERNARDINO COUNTIES IN POMONA AND CHINO HILLS FROM 0.2 MILE SOUTH OF MISSION BOULEVARD OVERCROSSING TO 0.2 MILE OF SAN BERNARDINO COUNTY LINE.

Contractor Name: OHL USA

Contractor Address: 1920 Main Street, Suite 310, Irvine, California 92614

Resident Engineer: Michael Wang Structure Rep.: Ryan Valentine

Sample Information

DIME Sample ID: 2025-09-30-66

TL Number from the TL Form: 0930B2

Sample Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953

Sample Organization Contact: (213) 817-0387

Type of Sample: Acceptance

Type of Material: Hot Mix Asphalt

Sample Taken Date: 09/30/2025

Date that the sample was received by the laboratory/organization performing the testing: 10/04/2025

The quantity of what the sample constitutes: 750 Tons

A brief description of the sample: 3/4 RHMA-G

From where was the sample collected: Manufacturer

Laboratory sample identification: 25-1077

Structure unique identifier:

Structure name:

The fabricator/manufacturer/facility name: AAA Corona

Material Information

HMA Type: RHMA-G

HMA Grading: 3/4 inch

Lot number:

Sublot number:

HMA Mix Number: 106835

Binder content (%): 0.0

Virgin binder PG:

Design binder PG:

Binder Supplier:

RAP content (%):

WMA Additives:

Antistrip type:

Test Results

Test 1 of 2

DIME Test ID: 2025-09-30-66-1

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: 12/15/2025

Date Tested: 10/06/2025

Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953

Organization Address: 1940 South Workman Mill Road,

Organization City: Whittier

Organization State: CA

Organization Zipcode: 90601

Organization Email: chad.chotibhongs@dot.ca.gov

Organization Phone: (213) 407-6963

General Comments for this Test:

Test Result Compliance: not applicable

Additional Comments When Verified:

Number of Samples	1
What is the unit of measurement for theoretical density?	US Units
Mass Determination	Air
Method Performed	Mechanical Agitation - Method A
Mass of container filled with water 1	7349.5 grams
Mass of oven-dry sample in air for Sample 1	2566.9 grams
Mass of container filled with the sample and water for Sample 1	8874 grams
Temperature of Water	77 °F
Specific Gravity for Sample 1	2.462
Theoretical maximum density at 25°C (77°F)	153.2 lb/ft^3

Test 2 of 2

DIME Test ID: 2025-09-30-66-2

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)