Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000997 DEA: 010J2104 EFIS: 0118000190
QA Service Level: 1
DIST-CO-RTE-PM: 01-DN-101-R2.6/23.9
Work Description: RHMA, HMA, AND COLD PLANE ASPHALT CONCRETE PAVEMENT.
Location Description: DEL NORTE COUNTY IN AND NEAR KLAMATH FROM 1.2 MILES SOUTH OF KLAMATH RIVER OVERFLOW TO 1.1 MILE NORTH OF HAMILTON ROAD
Contractor Name: MERCER-FRASER COMPANY
Contractor Address: P O BOX 1006, EUREKA, CA 95502-1006
Resident Engineer: Aaron Valley Structure Rep.: Joshua Erler
DIME Sample ID: 2026-06-01-69
TL Number from the TL Form:
Sample Submitted By Organization: CT D01 - Crescent City Field Laboratory
Sample Organization Contact: (707) 496-5581
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 06/01/2026
Date that the sample was received by the laboratory/organization performing the testing: 06/02/2026
The quantity of what the sample constitutes: 3 cores
A brief description of the sample: 1/2 RHMA PG 64-16
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Mercer Fraser Boyd Road
DIME Test ID: 2026-06-01-69-1
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: 06/09/2026
Date Tested: 06/09/2026
Submitted By Organization: CT D01 - Crescent City Field Laboratory
Organization Address: 1444 Parkway Dr.,
Organization City: Crescent City
Organization State: CA
Organization Zipcode: 95531
Organization Email: clayton.malmberg@dot.ca.gov
Organization Phone: (707) 496-5581
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
|
Bulk Specific Gravity
|
2.303
|
|
Bulk Specific Gravity 2
|
2.262
|
|
Bulk Specific Gravity 3
|
2.314
|
|
Average Bulk Specific Gravity
|
2.293
|
