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: 2026-01-21-16
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: 01/21/2026
Date that the sample was received by the laboratory/organization performing the testing: 01/21/2026
The quantity of what the sample constitutes: 498 Tons
A brief description of the sample: 2 HMA cores
From where was the sample collected: Job Site
Laboratory sample identification: 260121-L7SL2 AB
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Papich Construction
DIME Test ID: 2026-01-21-16-1
Test Method: CTM 375-February 2012: Determining the Density and Relative Compaction of Data Cores (lab)
Verified Date: 01/25/2026
Date Tested: 01/23/2026
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
L7 SL2B
Test Result Compliance: complies
Additional Comments When Verified:
|
Number of Cores
|
1
|
|
Core 1 ID
|
2B
|
|
Dry Weight 1
|
1018.5 grams
|
|
Parrafin Coated Weight 1
|
1043.7 grams
|
|
Coated Weight in Water 1
|
576.9 grams
|
|
Theoretical Maximum Density
|
2.464
|
DIME Test ID: 2026-01-21-16-3
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: 01/22/2026
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
|
1625.7 grams
|
|
Mass of sample in water for Sample 1
|
965.8 grams
|
|
Temperature of Water
|
77 °F
|
|
Specific Gravity for Sample 1
|
2.464
|
|
Theoretical maximum density at 25°C (77°F)
|
153.4 lb/ft^3
|
DIME Test ID: 2026-01-21-16-4
Test Method: CTM 375-February 2012: Determining the Density and Relative Compaction of Data Cores (lab)
Verified Date: 01/25/2026
Date Tested: 01/23/2026
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
L7 SL2A
Test Result Compliance: complies
Additional Comments When Verified:
|
Number of Cores
|
1
|
|
Core 1 ID
|
2A
|
|
Dry Weight 1
|
947.4 grams
|
|
Parrafin Coated Weight 1
|
968.5 grams
|
|
Coated Weight in Water 1
|
536.3 grams
|
|
Theoretical Maximum Density
|
2.464
|
