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Sample Record for 2025-12-15-30

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

Project Information

Project ID: 995468 DEA: 114B0084 EFIS: 1122000208 QA Service Level: 1
DIST-CO-RTE-PM: 11---
Work Description:
Location Description:
Contractor Name: Rubbia Khan Griffith COmpany
Contractor Address: 3050 East Birch Street, Brea, CA, 92821
Resident Engineer: Alfredo Hernandez Medina Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2025-12-15-30
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: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 12/15/2025
Date that the sample was received by the laboratory/organization performing the testing: 12/19/2025
The quantity of what the sample constitutes: 4 boxes
A brief description of the sample: Plant Sample
From where was the sample collected: Supplier
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Martin Marietta

Material Information

HMA Type: Type A HMA
HMA Grading: 1/2 inch
Lot number:
Sublot number:
HMA Mix Number: 21217105 MM
Binder content (%): 0.0
Virgin binder PG:
Design binder PG:
Binder Supplier:
RAP content (%):
WMA Additives:
Antistrip type:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2025-12-15-30-1
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: 01/06/2026
Date Tested: 12/30/2025
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: Oven 4, Target 5.25%
Test Result Compliance: does not comply
Additional Comments When Verified:
What temperature unit is used? Celsius
Test procedure used? Method A
Mass of the specimen basket assembly 4014.2 g
Mass of the specimen and specimen basket assembly prior to ignition 5557.8 g
Corrected Asphalt Binder Content 5.8 %
Mass of HMA Sample prior to ignition 1543.6 g
Mass Loss 91.5 g
Mass of aggregate remaining after ignition 1452.1 g
Correction Factor (Percent by mass of HMA Specimen) 0.13 %
Moisture Content no data0 %
Temperature Compensation Factor no data0 %
Test Temperature 538 C

Test 2 of 2

DIME Test ID: 2025-12-15-30-2
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: 01/06/2026
Date Tested: 01/02/2026
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:
Test Result Compliance: does not comply
Additional Comments When Verified:
Number of Samples 1
What is the unit of measurement for theoretical density? SI Units
Mass Determination Air
Method Performed Mechanical Agitation - Method A
Mass of container filled with water 1 7475.6 grams
Mass of oven-dry sample in air for Sample 1 1555.1 grams
Mass of container filled with the sample and water for Sample 1 8418 grams
Temperature of Water 77 °F
Specific Gravity for Sample 1 2.538
Theoretical maximum density at 25°C (77°F) 2531 kg/m^3