Sample Record for 2025-12-21-7
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 995468 DEA: 114B0084 EFIS: 1122000208
QA Service Level: 1
DIST-CO-RTE-PM: 11---
Work Description:
Location Description:
Contractor Name: Rubbia Khan Griffith COmpany
Contractor Address: 3050 East Birch Street, Brea, CA, 92821
Resident Engineer: Alfredo Hernandez Medina Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2025-12-21-7
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: 12/21/2025
Date that the sample was received by the laboratory/organization performing the testing: 12/22/2025
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: MM Lakeside
Material Information
HMA Type: Type A HMA
HMA Grading: 1/2 inch
Lot number:
Sublot number:
HMA Mix Number: 2121705
Binder content (%): 0.0
Virgin binder PG:
Design binder PG:
Binder Supplier: Valero
RAP content (%): 0
WMA Additives: No
Antistrip type:
Test Results
Test
DIME Test ID: 2025-12-21-7-1
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)
Submitted By Organization: CT D11 - District 11 Materials Laboratory
Organization Address: 7177 Opportunity Road,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92111
Organization Email: D11PlantServices@dot.ca.gov
Organization Phone: (858) 518-8709
This test has been superseded on 05/11/2026.
Reason: retested
Test
DIME Test ID: 2025-12-21-7-2
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: 04/28/2026
Date Tested: 04/27/2026
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: Target: 2.472
Actual: 2.502
Test Result Compliance: not applicable
Additional Comments When Verified:
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Number of tests
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2
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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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no data
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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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1529.2 grams
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Mass of container filled with the sample and water for Sample 1
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8393.4 grams
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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 2
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1509 grams
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Mass of container filled with the sample and water for Sample 2
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8381.6 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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2.501
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Specific Gravity for Sample 2
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2.502
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Average Specific Gravity
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2.502
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Theoretical maximum density at 25°C (77°F)
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155.7 lb/ft^3
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Test
DIME Test ID: 2025-12-21-7-3
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: 05/11/2026
Date Tested: 05/01/2026
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: Retest
Test Result Compliance: complies
Additional Comments When Verified:
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What temperature unit is used?
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Fahrenheit
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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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4033.2 g
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Mass of the specimen and specimen basket assembly prior to ignition
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5542.5 g
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Mass of HMA Sample prior to ignition
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1509.3 g
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Corrected Asphalt Binder Content
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5.64 %
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Mass Loss
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85.9 g
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Mass of aggregate remaining after ignition
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1423.4 g
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Correction Factor (Percent by mass of HMA Specimen)
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0.05 %
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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 F
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