Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 995129 DEA: 07346204 EFIS: 0718000072
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA,VEN-2,23,101-Var
Work Description: UPGRADE AND INSTALL NEW TRANSPORTATION MANAGEMENT SYSTEM ELEMENTS.
Location Description: LOS ANGELES AND VENTURA COUNTIES AT VARIOUS LOCATIONS
Contractor Name: SELECT ELECTRIC, INC.
Contractor Address: Unknown
Resident Engineer: JOSEPH SOLAIMAN TEHRANI Structure Rep.: Aziz Maghsoudloo
DIME Sample ID: 2025-07-01-104
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: 07/01/2025
Date that the sample was received by the laboratory/organization performing the testing: 09/22/2025
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: 25-1039
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Materials Sun Valley
DIME Test ID: 2025-07-01-104-1
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: 09/26/2025
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: not applicable
Additional Comments When Verified:
|
Bulk Specific Gravity
|
2.431
|
|
Bulk Specific Gravity 2
|
2.428
|
|
Average Bulk Specific Gravity
|
2.43
|
