Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214573 DEA: 073096U4 EFIS: 0719000091
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-210-R0.0/R9.7
Work Description: PLACE CONCRETE PAVEMENT, BARRIER, HMA, DRAINAGE, AND ELECTRICAL.
Location Description: LOS ANGELES COUNTY IN LOS ANGELES FROM INTERSTATE 5 TO WHEATLAND AVENUE UNDERCROSSING
Contractor Name: FLATIRON WEST INC
Contractor Address: 15335 FAIRFIELD RANCH ROAD, CHINO HILLS, CA 91709
Resident Engineer: Ridwan Salman Structure Rep.: Adriana Pimienta
DIME Sample ID: 2022-06-14-23
TL Number from the TL Form: 019136
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: 06/14/2022
Date that the sample was received by the laboratory/organization performing the testing: 06/17/2022
The quantity of what the sample constitutes: 750 Tons
A brief description of the sample: 1/2" RHMA-G 326120 SVA3 VLO
From where was the sample collected: Manufacturer
Laboratory sample identification: 22-0151
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Materials Company Sun Valley
DIME Test ID: 2022-06-14-23-1
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: 06/20/2022
Date Tested: 06/17/2022
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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1529.6 grams
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Mass of container filled with the sample and water for Sample 1
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8255.9 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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2.416
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Theoretical maximum density at 25°C (77°F)
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150.4 lb/ft^3
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DIME Test ID: 2022-06-14-23-2
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)
Verified Date: 06/20/2022
Date Tested: 06/17/2022
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: complies
Additional Comments When Verified:
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What temperature unit is used?
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Fahrenheit
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Test procedure used?
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Method A
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Mass of the specimen basket assembly
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no data
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Mass of the specimen and specimen basket assembly prior to ignition
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no data
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Mass of HMA Sample prior to ignition
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1569.1 g
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Corrected Asphalt Binder Content
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7.4 %
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Mass Loss
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no data
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Mass of aggregate remaining after ignition
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1447 g
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Correction Factor (Percent by mass of HMA Specimen)
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0.38 %
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Moisture Content
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no data0 %
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Temperature Compensation Factor
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no data
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Test Temperature
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1000.4 F
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