Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993703 DEA: 070W0404 EFIS: 0721000028 MINOR: 11A3471
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-90-0.9/T3.3
Work Description: PCC GRINDING, SLAB REPLACEMENT, SLURRY SEAL & COLD PLANE AC PAVEMENT.
Location Description: LOS ANGELES COUNTY IN LOS ANGELES AND CULVER CITY FROM ROUTE 1 TO SLAUSON AVENUE
Contractor Name: AUTOBAHN CONSTRUCTION
Contractor Address: 933 N Batavia St,, Orange, CA 92867
Resident Engineer: Frank Shin Structure Rep.: Unknown
DIME Sample ID: 2023-07-07-43
TL Number from the TL Form: na
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: 07/07/2023
Date that the sample was received by the laboratory/organization performing the testing: 07/12/2023
The quantity of what the sample constitutes: 750 Tons
A brief description of the sample: 1/2" rhma - a220831 sva sjr
From where was the sample collected: Job Site
Laboratory sample identification: 23-254
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Materials Irwindale
DIME Test ID: 2023-07-07-43-1
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: 07/21/2023
Date Tested: 07/17/2023
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: complies
Additional Comments When Verified:
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Bulk Specific Gravity
|
2.321
|
|
Bulk Specific Gravity 2
|
2.32
|
|
Bulk Specific Gravity 3
|
2.257
|
|
Average Bulk Specific Gravity
|
2.299
|