Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214993 DEA: 051F5004 EFIS: 0514000003
QA Service Level: 1
DIST-CO-RTE-PM: 05-SB-101,135-70.6/71.2;0.1
Work Description: CONSTRUCT CONCRETE BRIDGE, BRIDGE REMOVAL, COLD PLANE, PLACE HMA.
Location Description: SANTA BARBARA COUNTY AT LOS ALAMOS ON ROUTE 101 FROM 0.3 MILE SOUTH TO 0.3 MILE NORTH OF ROUTE 101/135 SEPARATION AND ON ROUTE 135 AT ROUTE 101/135 SEPARATION
Contractor Name: CAL PORTLAND CONSTRUCTION
Contractor Address: 1625 E Donovan Road, Santa Maria, CA 93454
Resident Engineer: Jason Torres Structure Rep.: Alex Martinez
DIME Sample ID: 2023-01-30-26
TL Number from the TL Form:
Sample Submitted By Organization: CT D05 - Santa Maria Field Laboratory
Sample Organization Contact: 8053191237
Type of Sample: Department Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 01/30/2023
Date that the sample was received by the laboratory/organization performing the testing: 01/30/2023
The quantity of what the sample constitutes: Tons
A brief description of the sample: HMA-A Cores
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite
DIME Test ID: 2023-01-30-26-1
Test Method: AASHTO T275-07r12: Standard Method of Test for Bulk Specific Gravity (Gmb) of Compacted Asphalt Mixtures Using Paraffin-Coated Specimens (Bulk Specific Gravity)
Verified Date: 02/10/2023
Date Tested: 02/01/2023
Submitted By Organization: CT D05 - Santa Maria Field Laboratory
Organization Address: 2053 Preisker Lane, Suite E,
Organization City: Santa Maria
Organization State: CA
Organization Zipcode: 93427
Organization Email: isaac.gleffe@dot.ca.gov
Organization Phone: (805) 319-1237
General Comments for this Test:
Test Result Compliance: not applicable
Additional Comments When Verified:
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Bulk Specific Gravity
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2.165
|
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Bulk Specific Gravity 2
|
2.192
|
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Bulk Specific Gravity 3
|
2.206
|
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Average Bulk Specific Gravity
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2.188
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