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Sample Record for 2025-08-04-125

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: 2025-08-04-125
TL Number from the TL Form:
Sample Submitted By Organization: CT D11 - District 11 Materials Laboratory
Sample Organization Contact: (858) 518-8709
Type of Sample: Dispute Resolution
Type of Material: Hot Mix Asphalt
Sample Taken Date: 08/04/2025
Date that the sample was received by the laboratory/organization performing the testing: 10/14/2025
The quantity of what the sample constitutes: 4 boxes
A brief description of the sample: Dispute Sample
From where was the sample collected: Manufacturer
Laboratory sample identification:
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: 6
Sublot number: 1
HMA Mix Number: L221154AM
Binder content (%): 4.8
Virgin binder PG:
Design binder PG:
Binder Supplier: SJR
RAP content (%): 15
WMA Additives: No
Antistrip type: PaveGrip 519
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2025-08-04-125-1
Test Method: AASHTO T269-24E25: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)
Verified Date: 01/06/2026
Date Tested: 12/24/2025
Submitted By Organization: CT D11 - District 11 Materials Laboratory
Organization Address: 4050 Taylor Street,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92110
Organization Email: benjamin.haney@dot.ca.gov
Organization Phone: (858) 688-1595
General Comments for this Test: Does Not Comply Target 4.0 +/- 1.5 Tested avg of 7.7 %
Test Result Compliance: does not comply
Additional Comments When Verified:
Percent Air Voids 7.7 %
Percent Air Voids 2 7.9 %
Percent Air Voids 3 7.5 %
Average Percent Air Voids 7.7 %