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: 2026-06-04-127
TL Number from the TL Form:
Sample Submitted By Organization: CT D01 - Boyd Road Field Laboratory
Sample Organization Contact: (707) 496-0974
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: 2 cores
A brief description of the sample: RHMA CORES
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: 2026-06-04-127-1
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: 06/16/2026
Date Tested: 06/16/2026
Submitted By Organization: CT D01 - Boyd Road Field Laboratory
Organization Address: 1050 River Ranch Road,
Organization City: Fortuna
Organization State: California
Organization Zipcode: 95540
Organization Email: leif.ayres@dot.ca.gov
Organization Phone: (707) 496-0974
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
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Bulk Specific Gravity
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2.298
|
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Bulk Specific Gravity 2
|
2.299
|
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Average Bulk Specific Gravity
|
2.298
|
