Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000665 DEA: 081K4004 EFIS: 0819000031
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-15-3.5/6.8
Work Description: HMA (TYPE A), RDWY EXC, STR CONC RET WALL, RUBBERIZED HMA (OGFC).
Location Description: TEMECULA FROM 0.1 MI NORTH OF TEMECULA PARKWAY TO 0.2 MI NORTH OF WINCHESTER ROAD
Contractor Name: BEADOR CONSTRUCTION COMPANY, INC.
Contractor Address: 2900 Bristol Street, Suite D204, Costa Mesa, CA 92626
Resident Engineer: Denise Sostrom Structure Rep.: Gizachew Abayneh
DIME Sample ID: 2026-01-13-36
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Sample Organization Contact: 9512323690
Type of Sample: Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 01/13/2026
Date that the sample was received by the laboratory/organization performing the testing: 01/15/2026
The quantity of what the sample constitutes: 1 box, 5 cores
A brief description of the sample: 3/4" HMA-A SP
From where was the sample collected: Job Site
Laboratory sample identification: 1A21, 1B21, 1C21, 1A22, 1B22
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: R.J. Noble Co. — Corona
DIME Test ID: 2026-01-13-36-1
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: 04/10/2026
Date Tested: 01/21/2026
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test:
Test Result Compliance:
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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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
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7399.2 grams
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Mass of oven-dry sample in air for Sample 1
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2570.1 grams
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Mass of container filled with the sample and water for Sample 1
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8943.2 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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2.505
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Theoretical maximum density at 25°C (77°F)
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155.9 lb/ft^3
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DIME Test ID: 2026-01-13-36-2
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: 04/10/2026
Date Tested: 01/16/2026
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test: 1A21, 1B21, 1C21
Test Result Compliance: does not comply
Additional Comments When Verified:
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Bulk Specific Gravity
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2.309
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Bulk Specific Gravity 2
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2.321
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Bulk Specific Gravity 3
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2.27
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Average Bulk Specific Gravity
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2.3
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DIME Test ID: 2026-01-13-36-3
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: 04/10/2026
Date Tested: 01/16/2026
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test: 1A22, 1B22
Test Result Compliance: complies
Additional Comments When Verified:
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Bulk Specific Gravity
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2.358
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Bulk Specific Gravity 2
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2.34
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Average Bulk Specific Gravity
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2.349
|