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Sample Record for 2026-01-20-29

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

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: 2026-01-20-29
TL Number from the TL Form:
Sample Submitted By Organization: CT D05 - Whitley Gardens Field Laboratory
Sample Organization Contact: 805-540-9933
Type of Sample: Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 01/20/2026
Date that the sample was received by the laboratory/organization performing the testing: 01/20/2026
The quantity of what the sample constitutes: 225 Tons
A brief description of the sample: 1 HMA cores
From where was the sample collected: Job Site
Laboratory sample identification: 260120-L2SL108 A
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Papich Construction

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number: 2
Sublot number: 108
HMA Mix Number: L230077A
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: 2026-01-20-29-3
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: 01/25/2026
Date Tested: 01/21/2026
Submitted By Organization: CT D05 - Whitley Gardens Field Laboratory
Organization Address: 102 South Whitley Gardens Drive,
Organization City: Paso Robles
Organization State: CA
Organization Zipcode: 93346
Organization Email: kyle.engen@dot.ca.gov
Organization Phone: (805) 540-9933
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 Water
Method Performed Mechanical Agitation - Method A
Mass of oven-dry sample in air for Sample 1 2566 grams
Mass of sample in water for Sample 1 1516 grams
Temperature of Water 77 °F
Specific Gravity for Sample 1 2.444
Theoretical maximum density at 25°C (77°F) 152.1 lb/ft^3

Test 2 of 2

DIME Test ID: 2026-01-20-29-4
Test Method: CTM 375-February 2012: Determining the Density and Relative Compaction of Data Cores (lab)
Verified Date: 01/25/2026
Date Tested: 01/21/2026
Submitted By Organization: CT D05 - Whitley Gardens Field Laboratory
Organization Address: 102 South Whitley Gardens Drive,
Organization City: Paso Robles
Organization State: CA
Organization Zipcode: 93346
Organization Email: kyle.engen@dot.ca.gov
Organization Phone: (805) 540-9933
General Comments for this Test: Performed under T275 L2 SL108A
Test Result Compliance: complies
Additional Comments When Verified:
Number of Cores 1
Core 1 ID 108A
Dry Weight 1 1214.9 grams
Parrafin Coated Weight 1 1248.3 grams
Coated Weight in Water 1 682.6 grams
Theoretical Maximum Density 2.444

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
2026-01-20-29-1CTM 375-February 2012: Determining the Density and Relative Compaction of Data Cores (lab)01/25/2026Not scheduledKyle EngenCT D05 - Whitley Gardens Field LaboratoryPerformed under T275 L2 SL106B
2026-01-20-29-2CTM 375-February 2012: Determining the Density and Relative Compaction of Data Cores (lab)01/25/2026Not scheduledKyle EngenCT D05 - Whitley Gardens Field LaboratoryPerformed under T275 L2 SL106C