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Sample Record for 2021-06-17-43

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

Project Information

Project ID: 215148 DEA: 081E8404 EFIS: 0814000113 QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV,SBD-62-R6.7/9.2,0.0/15.1,29.3/33.6
Work Description: REPLACE ROADWAY WITH RHMA-G AND HMA.
Location Description: IN RIVERSIDE AND SAN BERNARDINO COUNTIES IN AND NEAR YUCCA VALLEY AND IN TWENTYNINE PALMS FROM 0.2 MILE NORTH OF INDIAN CANYON DRIVE TO 0.6 MILE WEST OF UTAH TRAIL
Contractor Name: Matich Corporation
Contractor Address: P.O. Box 50,000, San Bernardino, CA 92412
Resident Engineer: Khoi Vu Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-06-17-43
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: 06/17/2021
Date that the sample was received by the laboratory/organization performing the testing: 06/22/2021
The quantity of what the sample constitutes: 2 boxes,3 cores
A brief description of the sample: 3/4" PG-64-16 #CHP-68-E
From where was the sample collected: Manufacturer
Laboratory sample identification: 17A,17B,17C
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Matich Corporation

Material Information

HMA Type: RHMA-G
HMA Grading: 3/4 inch
Lot number:
Sublot number:
HMA Mix Number:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2021-06-17-43-1
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: 07/15/2021
Date Tested: 06/25/2021
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 2.293
Bulk Specific Gravity 2 2.255
Bulk Specific Gravity 3 2.296
Average Bulk Specific Gravity 2.281

Test 2 of 2

DIME Test ID: 2021-06-17-43-2
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: 07/15/2021
Date Tested: 06/28/2021
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 2.4
Theoretical maximum density at 25°C (77°F) no data