Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1001669 DEA: 09379004 EFIS: 0919000004
QA Service Level: 1
DIST-CO-RTE-PM: 09-INY-395-R65.0/76.0
Work Description: FULL DEPTH RECYCLING, COLD PLANE, HMA AND CURB RAMPS.
Location Description: INYO COUNTY AT AND NEAR INDEPENDENCE FROM 3 MILES SOUTH OF MANZANAR REWARD ROAD TO 0.3 MILE NORTH OF SHABBELL LANE
Contractor Name: ROAD AND HIGHWAY BUILDERS LLC
Contractor Address: 950 E MUSTANG RD, SPARKS NV 89434
Resident Engineer: Garrett Rottner Structure Rep.: Unknown
DIME Sample ID: 2026-05-20-18
TL Number from the TL Form:
Sample Submitted By Organization: Blackburn Consulting
Sample Organization Contact: (916) 375-8706
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 05/20/2026
Date that the sample was received by the laboratory/organization performing the testing: 05/21/2026
The quantity of what the sample constitutes: HMA 01
A brief description of the sample: 3/4'' Pg 58-34-HMA-SP
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: RHB Plant Independence
DIME Test ID: 2026-05-20-18-1
Test Method: AASHTO T209-25: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)
Verified Date: 05/22/2026
Date Tested: 05/21/2026
Submitted By Organization: CT D09 - Bishop Field Laboratory
Organization Address: 500 South Main Street,
Organization City: Bishop
Organization State: CA
Organization Zipcode: 93514
Organization Email: chris.talbot@dot.ca.gov
Organization Phone: (760) 872-0794
General Comments for this Test: HMA-01
Test Result Compliance: complies
Additional Comments When Verified:
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Number of Samples
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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 1
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7310.5 grams
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Mass of oven-dry sample in air for Sample 1
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2114.7 grams
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Mass of container filled with the sample and water for Sample 1
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8569 grams
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Temperature of Water
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77.2 °F
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Specific Gravity for Sample 1
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2.47
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Theoretical maximum density at 25°C (77°F)
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153.7 lb/ft^3
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DIME Test ID: 2026-05-20-18-2
Test Method: AASHTO T30-25: Standard Method of Test for Mechanical Analysis of Extracted Aggregate (Mechanical Analysis)
Verified Date: 05/22/2026
Date Tested: 05/22/2026
Submitted By Organization: CT D09 - Bishop Field Laboratory
Organization Address: 500 South Main Street,
Organization City: Bishop
Organization State: CA
Organization Zipcode: 93514
Organization Email: chris.talbot@dot.ca.gov
Organization Phone: (760) 872-0794
General Comments for this Test: Gradation Fails. #4 and #8 Screens out of Spec.
Test Result Compliance: does not comply
Additional Comments When Verified:
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Is an aggregate correction factor used?
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Yes
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Aggregate correction factor for the 2 in. sieve (% passing)
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no data0 %
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Aggregate correction factor for the 1 1/2 in. sieve (% passing)
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no data0 %
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Aggregate correction factor for the 1 in. sieve (% passing)
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no data0 %
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Aggregate correction factor for the 3/4 in. sieve (% passing)
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no data0 %
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Aggregate correction factor for the 1/2 in. sieve (% passing)
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-0.2 %
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Aggregate correction factor for the 3/8 in. sieve (% passing)
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-0.3 %
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Aggregate correction factor for the #4 sieve (% passing)
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-1.1 %
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Aggregate correction factor for the #8 sieve (% passing)
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-1.2 %
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Aggregate correction factor for the #16 sieve (% passing)
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-0.9 %
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Aggregate correction factor for the #30 sieve (% passing)
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-0.7 %
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Aggregate correction factor for the #50 sieve (% passing)
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-0.5 %
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Aggregate correction factor for the #100 sieve (% passing)
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-0.2 %
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Aggregate correction factor for the #200 sieve (% passing)
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-0.1 %
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DIME Test ID: 2026-05-20-18-3
Test Method: AASHTO T308-25: 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: 05/22/2026
Date Tested: 05/21/2026
Submitted By Organization: CT D09 - Bishop Field Laboratory
Organization Address: 500 South Main Street,
Organization City: Bishop
Organization State: CA
Organization Zipcode: 93514
Organization Email: chris.talbot@dot.ca.gov
Organization Phone: (760) 872-0794
General Comments for this Test: HMA-01
Test Result Compliance: complies
Additional Comments When Verified:
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What temperature unit is used?
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Celsius
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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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4250.9 g
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Mass of the specimen and specimen basket assembly prior to ignition
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6495.2 g
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Corrected Asphalt Binder Content
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5.06 %
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Mass of HMA Sample prior to ignition
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2244.3 g
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Mass Loss
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123.4 g
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Mass of aggregate remaining after ignition
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2120.9 g
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Correction Factor (Percent by mass of HMA Specimen)
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0.44 %
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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 C
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