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Sample Record for 2021-11-09-11

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

Project Information

Project ID: 214480 DEA: 07306604 EFIS: 0714000178 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-213-0.0/8.0
Work Description: CONSTRUCT CURB RAMPS,INSTALL PEDESTRIAN SIGNALS & REPAINT CROSSWALKS.
Location Description: LOS ANGELES COUNTY AT VARIOUS LOCATIONS FROM WEST 25TH STREET TO WEST CARSON STREET
Contractor Name: KDC, Inc. dba Dynalectric
Contractor Address: 4462 Corporate Center Drive, Los Alamitos, CA 90720
Resident Engineer: Ramon Robillos Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-11-09-11
TL Number from the TL Form: 006935
Sample Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Sample Organization Contact: (213) 817-0387
Type of Sample: Department Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 11/09/2021
Date that the sample was received by the laboratory/organization performing the testing: 11/09/2021
The quantity of what the sample constitutes: 750 Tons
A brief description of the sample: 1/2" WMA 320914 SVA LTR
From where was the sample collected: Manufacturer
Laboratory sample identification: 21-0422
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Materials Sun Valley

Material Information

HMA Type: Type A HMA
HMA Grading: 1/2 inch
Lot number:
Sublot number:
HMA Mix Number:
Binder content (%):
Virgin binder PG:
Design binder PG:
Binder Supplier:
RAP content (%):
WMA Additives:
Antistrip type:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2021-11-09-11-1
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)
Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Organization Address: 1940 South Workman Mill Road,
Organization City: Whittier
Organization State: CA
Organization Zipcode: 90601
Organization Email: chad.chotibhongs@dot.ca.gov
Organization Phone: (213) 407-6963
Data has not been verified.

Test 2 of 2

DIME Test ID: 2021-11-09-11-2
Test Method: AASHTO T209-12: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)
Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Organization Address: 1940 South Workman Mill Road,
Organization City: Whittier
Organization State: CA
Organization Zipcode: 90601
Organization Email: chad.chotibhongs@dot.ca.gov
Organization Phone: (213) 407-6963
Data has not been verified.