Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214140 DEA: 081J1104 EFIS: 0817000211
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-10,79,86-Var
Work Description: REMOVE, PREPARE AND FURNISH POLYESTER CONCRETE OVERLAY.
Location Description: RIVERSIDE COUNTY AT VARIOUS LOCATIONS
Contractor Name: VELARDE CONCRETE CONSTRUCTION INC
Contractor Address: 523 S BRAND BLVD #201, SAN FERNANDO CA 91340
Resident Engineer: Khoi Vu Structure Rep.: Unknown
DIME Sample ID: 2020-03-06-17
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: 03/06/2020
Date that the sample was received by the laboratory/organization performing the testing: 03/11/2020
The quantity of what the sample constitutes: 2 boxes
A brief description of the sample: 1/2 HMA-A-SP R15 Aggregate and RAP
From where was the sample collected: Manufacturer
Laboratory sample identification: 0170A-20
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: California Commercial Asphalt - Coachella
DIME Test ID: 2020-03-06-17-1
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: 03/16/2020
Date Tested: 03/12/2020
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:
Additional Comments When Verified:
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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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5.42 %
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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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DIME Test ID: 2020-03-06-17-2
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: 03/16/2020
Date Tested: 03/12/2020
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:
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
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Mass Determination
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Air
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Specific Gravity for Sample 1
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2.477
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Theoretical maximum density at 25°C (77°F)
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no data
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DIME Test ID: 2020-03-06-17-3
Test Method: AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)
Verified Date: 03/16/2020
Date Tested: 03/12/2020
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: does not comply
Additional Comments When Verified:
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Percent Air Voids
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1.5 %
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Percent Air Voids 2
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1.4 %
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Percent Air Voids 3
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1.5 %
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Average Percent Air Voids
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no data0 %
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