Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000657 DEA: 07351124 EFIS: 0722000308
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA, -2,10,57,60,210,etc.-Var
Work Description: INSTALL AND REPLACE CCTV CAMERA SYSTEMS.
Location Description: LOS ANGELES COUNTY AT VARIOUS LOCATIONS
Contractor Name: SELECT ELECTRIC, INC.
Contractor Address: Unknown
Resident Engineer: Ryan Pham Structure Rep.: Unknown
DIME Sample ID: 2025-11-19-95
TL Number from the TL Form:
Sample Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Sample Organization Contact: (213) 817-0387
Type of Sample: Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 11/19/2025
Date that the sample was received by the laboratory/organization performing the testing: 11/28/2025
The quantity of what the sample constitutes: 750 Tons
A brief description of the sample: 3/4" WMA-A
From where was the sample collected: Job Site
Laboratory sample identification: 25-1181
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: AAA Corona
DIME Test ID: 2025-11-19-95-1
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: 06/08/2026
Date Tested: 12/02/2025
Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Organization Address: 1940 South Workman Mill Road,
Organization City: Whittier
Organization State: CA
Organization Zipcode: 90601
Organization Email: chad.chotibhongs@dot.ca.gov
Organization Phone: (213) 407-6963
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
|
Bulk Specific Gravity
|
2.398
|
