Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1001361 DEA: 120M9704 EFIS: 1213000099
QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-57-11.5/12.5
Work Description: CONST BRIDGES, RET WALLS, JPCP, HMA, CONC BARRIERS AND ELECT SYSTEMS.
Location Description: ORANGE COUNTY IN ORANGE AND ANAHEIM FROM 0.2 MILE SOUTH OF ORANGEWOOD AVENUE UNDERCROSSING TO KATELLA AVENUE UNDERCROSSING
Contractor Name: ORTIZ ENTERPRISES, INC.
Contractor Address: Unknown
Resident Engineer: Aythem Al-Saleh Structure Rep.: Mohammad Rousta
DIME Sample ID: 2025-12-29-5
TL Number from the TL Form:
Sample Submitted By Organization: CT D12 - Huntington Beach Field Laboratory
Sample Organization Contact: 9492798846
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 12/29/2025
Date that the sample was received by the laboratory/organization performing the testing: 12/29/2025
The quantity of what the sample constitutes: 3/4 WMA-A
A brief description of the sample: 3/4 WMA-A
From where was the sample collected: Manufacturer
Laboratory sample identification: 25-1192
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: AAA Corona
DIME Test ID: 2025-12-29-5-1
Test Method: AASHTO T308-10: 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: 01/26/2026
Date Tested: 01/06/2026
Submitted By Organization: CT D12 - Huntington Beach Field Laboratory
Organization Address: 19601 Beach Boulevard,
Organization City: Huntington Beach
Organization State: CA
Organization Zipcode: 92648
Organization Email: frank.mai@dot.ca.gov
Organization Phone: (949) 279-8846
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
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What temperature unit is used?
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Celsius
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Test procedure used?
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Method A
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Mass of the specimen basket assembly
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3863.2 g
|
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Mass of the specimen and specimen basket assembly prior to ignition
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5872.2 g
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Mass of HMA Sample prior to ignition
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2009 g
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Corrected Asphalt Binder Content
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4.63 %
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Mass Loss
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93.1 g
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Mass of aggregate remaining after ignition
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1915.9 g
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Correction Factor (Percent by mass of HMA Specimen)
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no data0 %
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Moisture Content
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no data0 %
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Temperature Compensation Factor
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no data0 %
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Test Temperature
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538 C
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DIME Test ID: 2025-12-29-5-2
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: 01/26/2026
Date Tested: 01/06/2026
Submitted By Organization: CT D12 - Huntington Beach Field Laboratory
Organization Address: 19601 Beach Boulevard,
Organization City: Huntington Beach
Organization State: CA
Organization Zipcode: 92648
Organization Email: frank.mai@dot.ca.gov
Organization Phone: (949) 279-8846
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
|
Number of tests
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1
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What is the unit of measurement for theoretical density?
|
US Units
|
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Mass Determination
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Air
|
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Method Performed
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Mechanical Agitation - Method A
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Mass of container filled with water
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7309 grams
|
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Mass of oven-dry sample in air for Sample 1
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2507 grams
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Mass of container filled with the sample and water for Sample 1
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8845.5 grams
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Temperature of Water
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77 °F
|
|
Specific Gravity for Sample 1
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2.583
|
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Theoretical maximum density at 25°C (77°F)
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160.8 lb/ft^3
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DIME Test ID: 2025-12-29-5-3
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: 01/26/2026
Date Tested: 01/06/2026
Submitted By Organization: CT D12 - Huntington Beach Field Laboratory
Organization Address: 19601 Beach Boulevard,
Organization City: Huntington Beach
Organization State: CA
Organization Zipcode: 92648
Organization Email: frank.mai@dot.ca.gov
Organization Phone: (949) 279-8846
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
|
Bulk Specific Gravity
|
2.423
|
