Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993798 DEA: 09366804 EFIS: 0916000021
QA Service Level: 1
DIST-CO-RTE-PM: 09-INY-395-117.3/117.9
Work Description: MEADOW FARMS ADA
Location Description: INYO COUNTY NEAR BISHOP FROM 0.1 MILE EAST OF SEE VEE LANE TO BARLOW LANE
Contractor Name: PAPICH CONSTRUCTION COMPANY, INC.
Contractor Address: P.O. BOX 2210, PISMO BEACH, CA 93448-2210
Resident Engineer: Adam Zumstein Structure Rep.: Mulugheta Belay
DIME Sample ID: 2026-06-04-74
TL Number from the TL Form:
Sample Submitted By Organization: CT D09 - Bishop Field Laboratory
Sample Organization Contact: (760) 872-5211
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 06/04/2026
Date that the sample was received by the laboratory/organization performing the testing: 06/05/2026
The quantity of what the sample constitutes: 140 tons of HMA
A brief description of the sample: 3/4” HMA type A
From where was the sample collected: Job Site
Laboratory sample identification: HMA-9
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite 5 Bridges Plant Bishop
DIME Test ID: 2026-06-04-74-1
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: 06/05/2026
Date Tested: 06/05/2026
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-9
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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4253.9 g
|
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Mass of the specimen and specimen basket assembly prior to ignition
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6528.4 g
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Corrected Asphalt Binder Content
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4.83 %
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Mass of HMA Sample prior to ignition
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2274.5 g
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Mass Loss
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116.3 g
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Mass of aggregate remaining after ignition
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2158.2 g
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Correction Factor (Percent by mass of HMA Specimen)
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0.28 %
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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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DIME Test ID: 2026-06-04-74-2
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: 06/05/2026
Date Tested: 06/05/2026
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-9
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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2163.9 grams
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Mass of container filled with the sample and water for Sample 1
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8596.9 grams
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Temperature of Water
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76.8 °F
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Specific Gravity for Sample 1
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2.466
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Theoretical maximum density at 25°C (77°F)
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153.5 lb/ft^3
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DIME Test ID: 2026-06-04-74-3
Test Method: AASHTO T30-25: Standard Method of Test for Mechanical Analysis of Extracted Aggregate (Mechanical Analysis)
Verified Date: 06/05/2026
Date Tested: 06/05/2026
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-9 PP Gradation
Test Result Compliance: complies
Additional Comments When Verified:
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Is an aggregate correction factor used?
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Yes
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