Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994443 DEA: 053307C4 EFIS: 0514000028
QA Service Level: 1
DIST-CO-RTE-PM: 05-SLO-41,46-44.5/45.3,54.0/57.8
Work Description: Wye Segment - Route 41/46 Separation
Location Description:
Contractor Name: Atkinson Construction
Contractor Address: 18201 Von Karman - Suite 800, Irvine, CA 92612
Resident Engineer: Brian Harrington Structure Rep.: Dave Lewis
DIME Sample ID: 2026-06-26-30
TL Number from the TL Form:
Sample Submitted By Organization: CT D05 - Whitley Gardens Field Laboratory
Sample Organization Contact: 805-540-9933
Type of Sample: Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 06/26/2026
Date that the sample was received by the laboratory/organization performing the testing: 06/27/2026
The quantity of what the sample constitutes: 250 Tons
A brief description of the sample: 1 HMA cores
From where was the sample collected: Job Site
Laboratory sample identification: 260626-L11SL2A
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite Construction - Templeton Plant
DIME Test ID: 2026-06-26-30-3
Test Method: CTM 375-February 2012: Determining the Density and Relative Compaction of Data Cores (lab)
Verified Date: 07/01/2026
Date Tested: 07/01/2026
Submitted By Organization: CT D05 - Whitley Gardens Field Laboratory
Organization Address: 102 South Whitley Gardens Drive,
Organization City: Paso Robles
Organization State: CA
Organization Zipcode: 93346
Organization Email: kyle.engen@dot.ca.gov
Organization Phone: (805) 540-9933
General Comments for this Test: Performed under T275
L11 SL2A
Test Result Compliance: complies
Additional Comments When Verified:
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Number of Cores
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1
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Core ID
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L11 SL2A
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|
Dry Weight
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869 grams
|
|
Parrafin Coated Weight
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887.7 grams
|
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Coated Weight in Water
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470.9 grams
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Theoretical Maximum Density
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2.349
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DIME Test ID: 2026-06-26-30-4
Test Method: AASHTO T209-12: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)
Verified Date: 07/01/2026
Date Tested: 06/30/2026
Submitted By Organization: CT D05 - Whitley Gardens Field Laboratory
Organization Address: 102 South Whitley Gardens Drive,
Organization City: Paso Robles
Organization State: CA
Organization Zipcode: 93346
Organization Email: kyle.engen@dot.ca.gov
Organization Phone: (805) 540-9933
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
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Number of tests
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1
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|
What is the unit of measurement for theoretical density?
|
US Units
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Mass Determination
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Water
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|
Method Performed
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Mechanical Agitation - Method A
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Mass of oven-dry sample in air for Sample 1
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2557.2 grams
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Mass of sample in water for Sample 1
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1468.7 grams
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Temperature of Water
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77 °F
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Specific Gravity for Sample 1
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2.349
|
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Theoretical maximum density at 25°C (77°F)
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146.2 lb/ft^3
|