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Sample Record for 2021-05-01-4

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

Project Information

Project ID: 213746 DEA: 080Q75U4 EFIS: 0817000114 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD,RIV-60-R4.6/R9.9, R0.0/12.2
Work Description: REPLACEMENT OF TWO OUTSIDE LANES AND CONCRETE SLABS
Location Description:
Contractor Name: J McLoughlin Engineering
Contractor Address: 10641 Fulton Court, Rancho Cucamonga, CA 91730
Resident Engineer: Mujahid Qureshi Structure Rep.: Ching Chuang

Sample Information

DIME Sample ID: 2021-05-01-4
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: 05/01/2021
Date that the sample was received by the laboratory/organization performing the testing: 05/05/2021
The quantity of what the sample constitutes: 2 boxes HMA
A brief description of the sample: 3/4" HMA-A PG 64-28M 0.5% LAS
From where was the sample collected: Manufacturer
Laboratory sample identification: 0258A-21
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Corona

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number:
Sublot number:
HMA Mix Number:
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2021-05-01-4-1
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: 05/24/2021
Date Tested: 05/06/2021
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? Fahrenheit
Test procedure used? no data
Mass of HMA Sample prior to ignition no data
Corrected Asphalt Binder Content 4.64 %
Mass Loss no data
Correction Factor (Percent by mass of HMA Specimen) no data
Moisture Content no data
Temperature Compensation Factor no data
Test Temperature no data