Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
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
DIME Sample ID: 2025-12-09-55
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: 12/09/2025
Date that the sample was received by the laboratory/organization performing the testing: 01/09/2026
The quantity of what the sample constitutes: 8 boxes
A brief description of the sample: Dispute Sample
From where was the sample collected: Manufacturer
Laboratory sample identification: 25-03-20-69-A
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Papich Construction
DIME Test ID: 2025-12-09-55-1
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: 02/05/2026
Date Tested: 01/16/2026
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: Complies Target 7.50% Tested 7.71%
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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3929.8 g
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Mass of the specimen and specimen basket assembly prior to ignition
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6034.3 g
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Corrected Asphalt Binder Content
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7.71 %
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Mass of HMA Sample prior to ignition
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2104.5 g
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Mass Loss
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183 g
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Mass of aggregate remaining after ignition
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1921.5 g
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Correction Factor (Percent by mass of HMA Specimen)
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0.99 %
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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: 2025-12-09-55-2
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: 02/05/2026
Date Tested: 01/15/2026
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: D-5 Dispute
Test Result Compliance: not applicable
Additional Comments When Verified:
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Bulk Specific Gravity
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2.263
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Bulk Specific Gravity 2
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2.252
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Bulk Specific Gravity 3
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2.259
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Average Bulk Specific Gravity
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2.258
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DIME Test ID: 2025-12-09-55-5
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: 02/05/2026
Date Tested: 01/15/2026
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: D-5 Dispute
Test Result Compliance: not applicable
Additional Comments When Verified:
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Number of tests
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1
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What is the unit of measurement for theoretical density?
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SI 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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7475.6 grams
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Mass of oven-dry sample in air for Sample 1
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2526.8 grams
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Mass of container filled with the sample and water for Sample 1
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8926.1 grams
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Temperature of Water
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77 °F
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Specific Gravity for Sample 1
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2.348
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Theoretical maximum density at 25°C (77°F)
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2341.2 kg/m^3
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