Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994514 DEA: 043Y0504 EFIS: 0423000192
QA Service Level: 1
DIST-CO-RTE-PM: 04-SOL-12112113-var/var
Work Description: PAVEMENT REPAIR
Location Description:
Contractor Name: OC Jones
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown
DIME Sample ID: 2023-05-26-39
TL Number from the TL Form: C911373
Sample Submitted By Organization: CT D04 - Concord Field Laboratory
Sample Organization Contact: (510) 714-7019
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 05/26/2023
Date that the sample was received by the laboratory/organization performing the testing: 05/26/2023
The quantity of what the sample constitutes: 2 boxes
A brief description of the sample: 3/4 HMA Type A
From where was the sample collected: Manufacturer
Laboratory sample identification: Con_23_550
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite Bradshaw Plant
DIME Test ID: 2023-05-26-39-1
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: 06/16/2023
Date Tested: 05/31/2023
Submitted By Organization: CT D04 - Concord Field Laboratory
Organization Address: 2525 Stanwell Drive, Suite 100,
Organization City: Concord
Organization State: CA
Organization Zipcode: 94520
Organization Email: gurind.joshi@dot.ca.gov
Organization Phone: (510) 714-7019
General Comments for this Test: L1 SL 12
Test Result Compliance: complies
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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SI Units
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Mass Determination
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Air
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Specific Gravity for Sample 1
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2.565
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Theoretical maximum density at 25°C (77°F)
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2.6 kg/m^3
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