Project Information

Project ID: 995228 DEA: 07347904 EFIS: 0718000123 QA Service Level: 1

DIST-CO-RTE-PM: 07-LA-405-31.2/41.4

Work Description: COLD PLANE, PLACE HMA, RHMA, JPCP, ISR, & REPLACE BRIDGE SLABS.

Location Description: LOS ANGELES FROM WILSHIRE BOULEVARD UNDERCROSSING TO VICTORY BOULEVARD UNDERCROSSING

Contractor Name: RASMUSSEN/VANGUARD

Contractor Address: 28548 Livingston Ave, Valencia , CA,91355-4171

Resident Engineer: Denrick Bautista Structure Rep.: Gon Choi

Sample Information

DIME Sample ID: 2025-12-20-11

TL Number from the TL Form: 1220A2

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: 12/20/2025

Date that the sample was received by the laboratory/organization performing the testing: 12/26/2025

The quantity of what the sample constitutes: 750 Tons

A brief description of the sample: 3/4" WMA-A

From where was the sample collected: Manufacturer

Laboratory sample identification: 25-1204

Structure unique identifier:

Structure name:

The fabricator/manufacturer/facility name: Vulcan Materials Sun Valley

Material Information

HMA Type: Type A HMA

HMA Grading: 3/4 inch

Lot number:

Sublot number:

HMA Mix Number: 220200W SVA VLO

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: 2025-12-20-11-1

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: 01/08/2026

Date Tested: 01/05/2026

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	2527.8 grams
Mass of container filled with the sample and water for Sample 1	8880.6 grams
Temperature of Water	77 °F
Specific Gravity for Sample 1	2.536
Theoretical maximum density at 25°C (77°F)	157.9 lb/ft^3

Test 2 of 2

DIME Test ID: 2025-12-20-11-2

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)