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Sample Record for 2025-12-17-33

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Project Information

Project ID: 1000665 DEA: 081K4004 EFIS: 0819000031 QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-15-3.5/6.8
Work Description: HMA (TYPE A), RDWY EXC, STR CONC RET WALL, RUBBERIZED HMA (OGFC).
Location Description: TEMECULA FROM 0.1 MI NORTH OF TEMECULA PARKWAY TO 0.2 MI NORTH OF WINCHESTER ROAD
Contractor Name: BEADOR CONSTRUCTION COMPANY, INC.
Contractor Address: 2900 Bristol Street, Suite D204, Costa Mesa, CA 92626
Resident Engineer: Denise Sostrom Structure Rep.: Gizachew Abayneh

Sample Information

DIME Sample ID: 2025-12-17-33
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Sample Organization Contact: 9512323690
Type of Sample: Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 12/17/2025
Date that the sample was received by the laboratory/organization performing the testing: 12/22/2025
The quantity of what the sample constitutes: 1 box, 5 cores
A brief description of the sample: 3/4" HMA-A SP
From where was the sample collected: Job Site
Laboratory sample identification: 1A15, 1B15, 1C15, 1A16, 1B16
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: R.J. Noble Co. — Corona

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number:
Sublot number:
HMA Mix Number: 36R2508SPWEC
Binder content (%): 0.0
Virgin binder PG:
Design binder PG:
Binder Supplier:
RAP content (%):
WMA Additives:
Antistrip type:
Test results on following page(s): 3

Test Results

Test 1 of 3

DIME Test ID: 2025-12-17-33-1
Test Method: AASHTO T209-12: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)
Verified Date: 12/31/2025
Date Tested: 12/29/2025
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Number of tests 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 7338.9 grams
Mass of oven-dry sample in air for Sample 1 2522.7 grams
Mass of container filled with the sample and water for Sample 1 8854.1 grams
Temperature of Water 77 °F
Specific Gravity for Sample 1 2.504
Theoretical maximum density at 25°C (77°F) 155.9 lb/ft^3

Test 2 of 3

DIME Test ID: 2025-12-17-33-2
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: 12/31/2025
Date Tested: 12/30/2025
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test: 1A15, 1B15, 1C15
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.328
Bulk Specific Gravity 2 2.28
Bulk Specific Gravity 3 2.311
Average Bulk Specific Gravity 2.306

Test 3 of 3

DIME Test ID: 2025-12-17-33-3
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: 12/31/2025
Date Tested: 12/30/2025
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test: 1A16, 1B16
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.306
Bulk Specific Gravity 2 2.278
Average Bulk Specific Gravity 2.292