Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993828 DEA: 070W0704 EFIS: 0721000031
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-710-6.9/17.3
Work Description: INDIVIDUAL SLAB REPLACEMENT.
Location Description: LOS ANGELES COUNTY IN AND NEAR LONG BEACH FROM ROUTE 1/710 SEPARATION TO LOS ANGELES RIVER BRIDGE
Contractor Name: ALL AMERICAN ASPHALT
Contractor Address: Unknown
Resident Engineer: Jose FERRER Structure Rep.: Unknown
DIME Sample ID: 2023-01-08-1
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: 01/08/2023
Date that the sample was received by the laboratory/organization performing the testing: 01/11/2023
The quantity of what the sample constitutes: 2 Boxes 135.90 Tons Out
A brief description of the sample: 3/4" HMA-A R15
From where was the sample collected: Manufacturer
Laboratory sample identification: 0107A-23
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: AAA Irwindale
DIME Test ID: 2023-01-08-1-1
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: 01/18/2023
Date Tested: 01/12/2023
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: 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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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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4.65 %
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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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