Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993818 DEA: 07322504 EFIS: 0716000056
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-103-0.1/0.1
Work Description: UNION PACIFIC OH DECK REHABILITATION
Location Description: THE CITY AND COUNTY OF LOS ANGELES AT UNION PACIFIC OVERHEAD
Contractor Name: BEADOR CONSTRUCTION COMPANY, INC.
Contractor Address: 2900 Bristol Street, Suite D204, Costa Mesa, CA 92626
Resident Engineer: Thang Ton Structure Rep.: Sami Deeb
DIME Sample ID: 2025-07-02-84
TL Number from the TL Form:
Sample Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Sample Organization Contact: (213) 817-0387
Type of Sample: Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 07/02/2025
Date that the sample was received by the laboratory/organization performing the testing: 07/18/2025
The quantity of what the sample constitutes: 750 Tons
A brief description of the sample: 3/4" HMA A
From where was the sample collected: Job Site
Laboratory sample identification: 25-502
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: AAA Irwindale
DIME Test ID: 2025-07-02-84-1
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: 07/21/2025
Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Organization Address: 1940 South Workman Mill Road,
Organization City: Whittier
Organization State: CA
Organization Zipcode: 90601
Organization Email: chad.chotibhongs@dot.ca.gov
Organization Phone: (213) 407-6963
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
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Bulk Specific Gravity
|
2.344
|
|
Bulk Specific Gravity 2
|
2.413
|
|
Bulk Specific Gravity 3
|
2.37
|
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Average Bulk Specific Gravity
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2.376
|