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Sample Record for 2023-04-27-44

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

Project Information

Project ID: 994350 DEA: 070W1204 EFIS: 0721000060 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-2-24.4/46.0
Work Description: SLURRY SEAL.
Location Description: LOS ANGELES COUNTY IN AND NEAR LA CANADA FLINTRIDGE AND PASADENA FROM ROUTE 2/210 SEPARATION TO 3.3 MILES EAST OF UPPER BIG TUJUNGA CANYON ROAD
Contractor Name: INTERMOUNTAIN SLURRY SEAL INC.
Contractor Address: 585 WEST BEACH STREET, WATSONVILLE CA 95076
Resident Engineer: ALIASGHAR SHALVIRI Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-04-27-44
TL Number from the TL Form: 006671
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: 04/27/2023
Date that the sample was received by the laboratory/organization performing the testing: 04/28/2023
The quantity of what the sample constitutes: 600 tons
A brief description of the sample: 3/4" HMA-A 105793
From where was the sample collected: Manufacturer
Laboratory sample identification: 23-097
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: AAA-Irwindale

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number:
Sublot number:
HMA Mix Number: 105793
Binder content (%):
Virgin binder PG:
Design binder PG:
Binder Supplier:
RAP content (%):
WMA Additives:
Antistrip type:
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2023-04-27-44-1
Test Method: AASHTO T209-22: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)
Verified Date: 05/02/2023
Date Tested: 05/01/2023
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
General Comments for this Test:
Test Result Compliance: not applicable
Additional Comments When Verified:
Number of Samples 1
What is the unit of measurement for theoretical density? US Units
Mass Determination Air
Method Performed Mechanical Agitation - Method A
Mass of container filled with water 1 7359.3 grams
Mass of oven-dry sample in air for Sample 1 2541.5 grams
Mass of container filled with the sample and water for Sample 1 8896.5 grams
Temperature of Water 77 °F
Specific Gravity for Sample 1 2.531
Theoretical maximum density at 25°C (77°F) 157.5 lb/ft^3