Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000402 DEA: 11430384 EFIS: 1118000114
QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-805-23.7/28.5
Work Description: REPLACE DRAINAGE, CONCRETE PAVEMENT, AND MODIFY ELECTRICAL SYSTEMS.
Location Description: SAN DIEGO COUNTY IN SAN DIEGO FROM 0.1 MILE NORTH OF ROUTE 805/52 SEPARATION TO ROUTE 5/805 SEPARATION
Contractor Name: HAZARD CONSTRUCTION ENGR, LLC
Contractor Address: 10529 VINE STREET, LAKESIDE, CA 92040
Resident Engineer: Karl Hartline Structure Rep.: Unknown
DIME Sample ID: 2025-09-14-30
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: Per Request
Type of Material: Hot Mix Asphalt
Sample Taken Date: 09/14/2025
Date that the sample was received by the laboratory/organization performing the testing: 09/24/2025
The quantity of what the sample constitutes: 4 boxes
A brief description of the sample: Plant Sample
From where was the sample collected: Supplier
Laboratory sample identification: 25-09-15-66-A
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Otay
HMA Type: RHMA-G
HMA Grading: 3/4 inch
Lot number:
Sublot number:
HMA Mix Number: 226110 Otay SJR
Binder content (%): 7.5
Virgin binder PG: PG 64-16
Design binder PG: PG 64-16
Binder Supplier: SJR
RAP content (%): 0
WMA Additives: Yes
Antistrip type:
DIME Test ID: 2025-09-14-30-1
Test Method: CTM 375-February 2012: Determining the Density and Relative Compaction of Data Cores (lab)
Verified Date: 03/30/2026
Date Tested: 03/27/2026
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
General Comments for this Test: Complies
Test Result Compliance: complies
Additional Comments When Verified:
|
Number of Cores
|
4
|
|
Core 1 ID
|
3 A 1
|
|
Dry Weight 1
|
1430.6 grams
|
|
Parrafin Coated Weight 1
|
1441.7 grams
|
|
Coated Weight in Water 1
|
819.3 grams
|
|
Theoretical Maximum Density
|
2.425
|
|
Core 2 ID
|
3 A 2
|
|
Dry Weight 2
|
1412.9 grams
|
|
Parrafin Coated Weight 2
|
1425.2 grams
|
|
Coated Weight in Water 2
|
797 grams
|
|
Core 3 ID
|
3 B 1
|
|
Dry Weight 3
|
1027.4 grams
|
|
Parrafin Coated Weight 3
|
1036.7 grams
|
|
Coated Weight in Water 3
|
581.1 grams
|
|
Core 4 ID
|
3 C 1
|
|
Dry Weight 4
|
1419.3 grams
|
|
Parrafin Coated Weight 4
|
1431.3 grams
|
|
Coated Weight in Water 4
|
800.4 grams
|
|
Sublot Relative Compaction
|
95.4 %
|
