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Sample Record for 2019-09-18-27

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 214122 DEA: 081G1204 QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-243-13.3/29.7
Work Description: COLD PLANE AC, PLACE RHMA-G AND RECESSED THERMOPLASTIC TRAFFIC STRIPE.
Location Description: RIVERSIDE COUNTY IN AND NEAR BANNING FROM 0.7 MILE NORTH OF BLACK MOUNTAIN TRAIL TO ROUTE 243/10 SEPARATION
Contractor Name: MATICH CORPORATION
Contractor Address: 1596 HARRY SHEPPARD BLVD, SAN BERNARDINO CA 92408
Resident Engineer: JONATHAN SKEITH Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2019-09-18-27
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Sample Organization Contact: 9512323690
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 09/18/2019
Date that the sample was received by the laboratory/organization performing the testing: 10/14/2019
The quantity of what the sample constitutes: 2 box, 6 cores
A brief description of the sample: 3/4" RHMA-G PG64-16RB
From where was the sample collected: Manufacturer
Laboratory sample identification: 14, 15, 16, 17, 18, 19
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Matich-Cabazon

Material Information

HMA Type: RHMA-G
HMA Grading: 3/4 inch
Lot number: Unknown
Sublot number: Unknown
HMA Mix Number:
Test results on following page(s): 3

Test Results

Test 1 of 3

DIME Test ID: 2019-09-18-27-1
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: 10/29/2019
Date Tested: 10/15/2019
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: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Bulk Specific Gravity no data0
Bulk Specific Gravity 2 2.19
Bulk Specific Gravity 3 2.213
Average Bulk Specific Gravity 2.202

Test 2 of 3

DIME Test ID: 2019-09-18-27-2
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: 10/29/2019
Date Tested: 10/15/2019
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: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Bulk Specific Gravity 2.182
Bulk Specific Gravity 2 2.178
Bulk Specific Gravity 3 2.202
Average Bulk Specific Gravity 2.187

Test 3 of 3

DIME Test ID: 2019-09-18-27-3
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: 10/29/2019
Date Tested: 10/14/2019
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: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Number of tests 1
What is the unit of measurement for theoretical density? US Units
Mass Determination Water
Specific Gravity for Sample 1 2.394
Theoretical maximum density at 25°C (77°F) no data