Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 215609 DEA: 074W9404 EFIS: 0720000196
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-101-0.0/1.0
Work Description: COLD PLANE AND OVERLAY WITH RUBBERIZED HOT MIX ASPHALT, SLURRY SEAL.
Location Description: LOS ANGELES COUNTY IN LOS ANGELES FROM ROUTE 10/101 SEPARATION TO SPRING STREET OVERCROSSING
Contractor Name: Sully Miller
Contractor Address: 135 State College Blvd, Brea, Ca 92821
Resident Engineer: Susana Facio Structure Rep.: Unknown
DIME Sample ID: 2022-03-01-25
TL Number from the TL Form: 0301A2
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: 03/01/2022
Date that the sample was received by the laboratory/organization performing the testing: 03/03/2022
The quantity of what the sample constitutes: 507 tons
A brief description of the sample: 3/4" HMA-A 300154
From where was the sample collected: Manufacturer
Laboratory sample identification: 22-0047
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Blue Diamond Material-Irwindale
DIME Test ID: 2022-03-01-25-1
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: 03/08/2022
Date Tested: 03/03/2022
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) 817-0387
General Comments for this Test:
Test Result Compliance: not applicable
Additional Comments When Verified:
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Number of tests
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1
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What is the unit of measurement for theoretical density?
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US Units
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Mass Determination
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Air
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Method Performed
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Mechanical Agitation - Method A
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Mass of container filled with water
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7359.3 grams
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Mass of oven-dry sample in air for Sample 1
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2564 grams
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Mass of container filled with the sample and water for Sample 1
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8869.8 grams
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Temperature of Water
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77 °F
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Specific Gravity for Sample 1
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2.434
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Theoretical maximum density at 25°C (77°F)
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no data
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DIME Test ID: 2022-03-01-25-2
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) 817-0387
Data has not been verified.
