Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214665 DEA: 081G5504 EFIS: 0816000035
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-40-R28.9
Work Description: REPLACE WEIGH-IN-MOTION SYSTEM WITH HIGH SPEED WEIGH-IN-MOTION SYSTEM.
Location Description: SAN BERNARDINO COUNTY NEAR NEWBERRY SPRINGS AT 3.6 MILES WEST OF HECTOR ROAD UNDERCROSSING
Contractor Name: Global Road Sealing Inc
Contractor Address: 10832 Dorothy Ave, Garden Grove, CA, 92843
Resident Engineer: Thanh Pham Structure Rep.: Unknown
DIME Sample ID: 2021-09-23-26
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: 09/23/2021
Date that the sample was received by the laboratory/organization performing the testing: 09/24/2021
The quantity of what the sample constitutes: 2 Boxes RHMA, 2 Qts Binder 110.48 tons out
A brief description of the sample: 1/2" RHMA-G 0.6% Evotherm
From where was the sample collected: Manufacturer
Laboratory sample identification: 0549G-21
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Blue Diamond Victorville
DIME Test ID: 2021-09-23-26-1
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: 09/30/2021
Date Tested: 09/29/2021
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: does not comply
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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no data
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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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8.24 %
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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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