Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214029 DEA: 07301104 EFIS: 0714000009
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-60,710-710-R2.8/11.8, 24.1/25.1
Work Description: Roadway ex, place jointed plain concrete pavement & concrete barrieres
Location Description: In Los Angeles County at avocado Heights on Route 60 from 0.5 Mile west of Route 60/710 Separation to Route 60/605 Separation AND on Route 710 from 0.5 miles south of Route 710/60 Separation to 0.5 mile north of Route 710/60 Separation.
Contractor Name: GUY F. ATKINSON CONSTRUCTION, LLC
Contractor Address: 18201 Von Karman Ave #800, Irvine, CA 92612
Resident Engineer: Sepand Minovi Structure Rep.: Rick Jensen
DIME Sample ID: 2021-01-14-22
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: 01/14/2021
Date that the sample was received by the laboratory/organization performing the testing: 01/25/2021
The quantity of what the sample constitutes: 4 boxes
A brief description of the sample: 1/2" RHMA-G PG 64-16RB (1.0% LAS)
From where was the sample collected: Manufacturer
Laboratory sample identification: 0125G-21
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: AAA-Corona
DIME Test ID: 2021-01-14-22-1
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: 02/12/2021
Date Tested: 01/26/2021
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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7.57 %
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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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