Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214157 DEA: 081H3404 EFIS: 0817000016
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-210,215-21.1/R26.3,4.1/14.3
Work Description: PRECAST SLAB AND CURB RAMP REPLACEMENT AND PLACE RHMA-G.
Location Description: SAN BERNARDINO COUNTY ON ROUTE 210 FROM 0.6 MILE EAST OF STATE STREET TO STERLING AVENUE AND ON ROUTE 215 FROM PALM STREET TO ROUTE 10/215 SEPARATION
Contractor Name: RV CONCRETE, INC.
Contractor Address: 605 E COMMERCIAL ST, ANAHEIM CA 92801
Resident Engineer: Samer Georges Structure Rep.: Unknown
DIME Sample ID: 2019-11-25-34
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Department Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 11/25/2019
Date that the sample was received by the laboratory/organization performing the testing: 11/27/2019
The quantity of what the sample constitutes: 2 boxes
A brief description of the sample: 3/4 RHMA-G-SP
From where was the sample collected: Manufacturer
Laboratory sample identification: 0710G-19
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: All American Asphalt Corona
DIME Test ID: 2019-11-25-34-1
Test Method: AASHTO T308-10: Standard Method of Test for Determining the Asphalt Binder Content of Hot Mix Asphalt (HMA) by the Ignition Method (Method A) (Asphalt Binder Content)
Verified Date: 12/05/2019
Date Tested: 12/01/2019
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: (909) 829-3029
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
What temperature unit is used?
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Fahrenheit
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Test procedure used?
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Method A
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Mass of HMA Sample prior to ignition
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no data
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Corrected Asphalt Binder Content
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7.31 %
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Mass Loss
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no data
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Correction Factor (Percent by mass of HMA Specimen)
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no data
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Moisture Content
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no data
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Temperature Compensation Factor
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no data
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Test Temperature
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no data
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