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Sample Record for 2025-12-09-55

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Project Information

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

Sample Information

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

Material Information

HMA Type: RHMA-G
HMA Grading: 3/4 inch
Lot number:
Sublot number:
HMA Mix Number: 39AC34GGASA
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: 2025-12-09-55-2
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)
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
Data has not been verified.

Test 2 of 2

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)
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
Data has not been verified.

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
2025-12-09-55-1AASHTO 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)01/12/202601/16/2026Ben HaneyCT D11 - District 11 Materials LaboratoryMohammad Abbassi
2025-12-09-55-3AASHTO 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)01/12/202601/16/2026Ben HaneyCT D11 - District 11 Materials LaboratorySplit out C.FMohammad Abbassi
2025-12-09-55-4AASHTO 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)01/12/202601/16/2026Ben HaneyCT D11 - District 11 Materials LaboratoryMix C.FDaniel Smith