Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1001213 DEA: 11431644 EFIS: 1122000232
QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-78-N17.7
Work Description: Cold plane, RHMA overlay, Concrete Barriers, Landscape and Electrical.
Location Description: IN SAN DIEGO COUNTY FROM ROUTE 78/5 SEPARATION TO 0.3 MILE EAST OF ESCONDIDO BOULEVARD UNDERCROSSING.
Contractor Name: Skanska USA Civil West
Contractor Address: 1995 Agua Mansa Rd., Riverside, CA 92509
Resident Engineer: Yong Pak Structure Rep.: Carlos Lopez
DIME Sample ID: 2026-04-02-20
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: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 04/02/2026
Date that the sample was received by the laboratory/organization performing the testing: 04/02/2026
The quantity of what the sample constitutes: 4 boxes
A brief description of the sample: JMFR
From where was the sample collected: Supplier
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: RJ Noble Corona
DIME Test ID: 2026-04-02-20-2
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: 04/14/2026
Date Tested: 04/10/2026
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:
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Number of tests
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1
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What is the unit of measurement for theoretical density?
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SI 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
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7475.6 grams
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Mass of oven-dry sample in air for Sample 1
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2504.9 grams
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Mass of container filled with the sample and water for Sample 1
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8949.2 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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2.429
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Theoretical maximum density at 25°C (77°F)
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2422 kg/m^3
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