Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 995493 DEA: 081G6704 EFIS: 0816000049
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-79-5.4/11.4
Work Description: HOT MIX ASPHALT, SOIL NAIL, STRUCTURAL CONCRETE AND ROADWAY EXC.
Location Description: RIVERSIDE COUNTY NEAR TEMECULA FROM 0.4 MILE SOUTH OF SAGE ROAD TO 1.1 MILES SOUTH OF PAUBA ROAD
Contractor Name: ORTIZ ENTERPRISES, INC.
Contractor Address: 6 CUSHING STE 200, IRVINE, CA 92618
Resident Engineer: Osama Abdalla Structure Rep.: Arnel Vega
DIME Sample ID: 2026-09-02-53
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Sample Organization Contact: 9098293350
Type of Sample: Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 09/02/2026
Date that the sample was received by the laboratory/organization performing the testing: 09/09/2026
The quantity of what the sample constitutes: 4 cores
A brief description of the sample: 3/4" HMA A SP
From where was the sample collected: Job Site
Laboratory sample identification: 36A, 36B, 36C, 37A
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: R.J. Noble Co. — Corona
DIME Test ID: 2026-09-02-53-1
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: 09/10/2026
Date Tested: 09/08/2026
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: james.holloway@dot.ca.gov
Organization Phone: (951) 232-8846
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?
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US Units
|
|
Mass Determination
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Air
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|
Method Performed
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Mechanical Agitation - Method A
|
|
Mass of container filled with water
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7399.1 grams
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Mass of oven-dry sample in air for Sample 1
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2547 grams
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Mass of container filled with the sample and water for Sample 1
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8934 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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2.517
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Theoretical maximum density at 25°C (77°F)
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156.7 lb/ft^3
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DIME Test ID: 2026-09-02-53-2
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: 09/10/2026
Date Tested: 09/10/2026
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: james.holloway@dot.ca.gov
Organization Phone: (951) 232-8846
General Comments for this Test: 36A, 36B, 36C
Test Result Compliance: complies
Additional Comments When Verified:
|
Bulk Specific Gravity
|
2.327
|
|
Bulk Specific Gravity 2
|
2.367
|
|
Bulk Specific Gravity 3
|
2.375
|
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Average Bulk Specific Gravity
|
2.356
|
DIME Test ID: 2026-09-02-53-3
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: 09/10/2026
Date Tested: 09/10/2026
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: james.holloway@dot.ca.gov
Organization Phone: (951) 232-8846
General Comments for this Test: 37A
Test Result Compliance: complies
Additional Comments When Verified:
|
Bulk Specific Gravity
|
2.359
|
