Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 215494 DEA: 081H4904 EFIS: 0817000059
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-18-31.9/38.5
Work Description: COLD PLANE AC PAVEMENT AND OVERLAY WITH HMA (TYPE A).
Location Description: SAN BERNARDINO COUNTY FROM 0.1 MILE EAST OF HILLTOP CONNECTOR TO 0.5 MILE EAST OF SIBERIA CREEK TRAIL
Contractor Name: Matich Corp
Contractor Address: P.O. Box 10, Highland, CA 92346-1010
Resident Engineer: Nhan Nguyen Structure Rep.: Unknown
DIME Sample ID: 2021-08-19-17
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: 08/19/2021
Date that the sample was received by the laboratory/organization performing the testing: 08/19/2021
The quantity of what the sample constitutes: 2 box, 3 cores
A brief description of the sample: HMA Type A R12 # LHP62-D
From where was the sample collected: Manufacturer
Laboratory sample identification: 16A, 16B, 16C
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Matich Lytle Creek
DIME Test ID: 2021-08-19-17-1
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: 08/24/2021
Date Tested: 08/23/2021
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
|
2.335
|
Bulk Specific Gravity 2
|
2.326
|
Bulk Specific Gravity 3
|
2.29
|
Average Bulk Specific Gravity
|
2.317
|
DIME Test ID: 2021-08-19-17-2
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: 08/24/2021
Date Tested: 08/20/2021
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
|
2.513
|
Theoretical maximum density at 25°C (77°F)
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no data
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