Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000256 DEA: 120S2804 EFIS: 1220000014
QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-5-9.6/10.4
Work Description: ADD SECONDARY AUXILIARY LANE.
Location Description: ORANGE COUNTY IN SAN JUAN CAPISTRANO FROM ROUTE 74/5 SEPARATION TO 0.5 MILE SOUTH OF JUNIPERO SERRA ROAD UNDERCROSSING
Contractor Name: POWELL CONSTRUCTORS, INC.
Contractor Address: 8555 BANANA AVE, FONTANA, CA 92335
Resident Engineer: Luis Vasquez Structure Rep.: Noah Bruton
DIME Sample ID: 2026-01-16-43
TL Number from the TL Form:
Sample Submitted By Organization: CT D12 - Huntington Beach Field Laboratory
Sample Organization Contact: 9492798846
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 01/16/2026
Date that the sample was received by the laboratory/organization performing the testing: 01/21/2026
The quantity of what the sample constitutes: 3/4 HMA
A brief description of the sample: 3/4 HMA
From where was the sample collected: Manufacturer
Laboratory sample identification: 26-0038
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: AAA Corona
DIME Test ID: 2026-01-16-43-1
Test Method: AASHTO T308-10: 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: 01/27/2026
Date Tested: 01/21/2026
Submitted By Organization: CT D12 - Huntington Beach Field Laboratory
Organization Address: 19601 Beach Boulevard,
Organization City: Huntington Beach
Organization State: CA
Organization Zipcode: 92648
Organization Email: frank.mai@dot.ca.gov
Organization Phone: (949) 279-8846
General Comments for this Test:
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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3934.3 g
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Mass of the specimen and specimen basket assembly prior to ignition
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5960 g
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Mass of HMA Sample prior to ignition
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2025.7 g
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Corrected Asphalt Binder Content
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4.12 %
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Mass Loss
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92.8 g
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Mass of aggregate remaining after ignition
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1932.9 g
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Correction Factor (Percent by mass of HMA Specimen)
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0.46 %
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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: 2026-01-16-43-2
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: 01/27/2026
Date Tested: 01/21/2026
Submitted By Organization: CT D12 - Huntington Beach Field Laboratory
Organization Address: 19601 Beach Boulevard,
Organization City: Huntington Beach
Organization State: CA
Organization Zipcode: 92648
Organization Email: frank.mai@dot.ca.gov
Organization Phone: (949) 279-8846
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
|
Number of Samples
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1
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What is the unit of measurement for theoretical density?
|
US 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 1
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7309 grams
|
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Mass of oven-dry sample in air for Sample 1
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2508.5 grams
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Mass of container filled with the sample and water for Sample 1
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8849.4 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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2.591
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Theoretical maximum density at 25°C (77°F)
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161.3 lb/ft^3
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DIME Test ID: 2026-01-16-43-3
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: 01/30/2026
Date Tested: 01/29/2026
Submitted By Organization: CT D12 - Huntington Beach Field Laboratory
Organization Address: 19601 Beach Boulevard,
Organization City: Huntington Beach
Organization State: CA
Organization Zipcode: 92648
Organization Email: frank.mai@dot.ca.gov
Organization Phone: (949) 279-8846
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
|
Bulk Specific Gravity
|
2.354
|
