Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214466 DEA: 081F1414 EFIS: 0815000231
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-15-15-54.2/54.3
Work Description: Slab & lane replacement with JPCP & precast conc pavement, place HMA.
Location Description: Riverside and San Diego County
Contractor Name: SECURITY PAVING COMPANY, INC.
Contractor Address: 3075 Townsgate Road, Suite 200, Westlake Village, CA 91361
Resident Engineer: Mike Bergevin Structure Rep.: Unknown
DIME Sample ID: 2021-07-20-35
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Barstow Field Laboratory 1
Sample Organization Contact: (760) 252-9216
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 07/20/2021
Date that the sample was received by the laboratory/organization performing the testing: 07/25/2021
The quantity of what the sample constitutes: 1
A brief description of the sample: 1/2 HMA core
From where was the sample collected: Job Site
Laboratory sample identification: 3A,
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CCA Lake Elsinore
DIME Test ID: 2021-07-20-35-1
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: 09/08/2021
Date Tested: 07/30/2021
Submitted By Organization: CT D08 - Barstow Field Laboratory 1
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: kaushalkumar.talati@dot.ca.gov
Organization Phone: (951) 840-8328
General Comments for this Test:
Test Result Compliance: does not comply
Additional Comments When Verified:
|
Bulk Specific Gravity
|
2.147
|
