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Sample Record for 2023-07-24-9

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

Project Information

Project ID: 994602 DEA: 09392004 EFIS: 0922000036 QA Service Level: 1
DIST-CO-RTE-PM: 09-INY-395-44.9/50.9,52.9/54.5
Work Description: HOT MIX ASPHALT (TYPE-A), SHOULDER BACKING, AND STRIPING.
Location Description: INYO COUNTY NEAR LONE PINE FROM 1.3 MILES SOUTH OF COTTONWOOD ROAD TO 2 MILES NORTH OF BARTLETT ROAD AND FROM 0.3 MILE SOUTH OF LUBKEN CANYON ROAD TO 1.1 MILES SOUTH OF GOLF COURSE ROAD
Contractor Name: SULLY-MILLER CONTRACTING COMPANY
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-07-24-9
TL Number from the TL Form:
Sample Submitted By Organization: CT D09 - Bishop Field Laboratory
Sample Organization Contact: (760) 872-5211
Type of Sample: Department Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 07/24/2023
Date that the sample was received by the laboratory/organization performing the testing: 07/25/2023
The quantity of what the sample constitutes: 1 box 1 core
A brief description of the sample: 3/4" HMA Core
From where was the sample collected: Job Site
Laboratory sample identification: Core 3A
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Blue Diamond-Victorville

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number:
Sublot number:
HMA Mix Number:
Binder content (%):
Virgin binder PG:
Design binder PG:
Binder Supplier:
RAP content (%):
WMA Additives:
Antistrip type:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2023-07-24-9-1
Test Method: AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)
Verified Date: 07/25/2023
Date Tested: 07/25/2023
Submitted By Organization: CT D09 - Bishop Field Laboratory
Organization Address: 500 South Main Street,
Organization City: Bishop
Organization State: CA
Organization Zipcode: 93514
Organization Email: chris.talbot@dot.ca.gov
Organization Phone: (760) 872-0794
General Comments for this Test: Cor - 3
Test Result Compliance: complies
Additional Comments When Verified:
Percent Air Voids 7 %
Percent Air Voids 2 6.5 %
Average Percent Air Voids 6.8 %

Test 2 of 2

DIME Test ID: 2023-07-24-9-2
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: 07/25/2023
Date Tested: 07/25/2023
Submitted By Organization: CT D09 - Bishop Field Laboratory
Organization Address: 500 South Main Street,
Organization City: Bishop
Organization State: CA
Organization Zipcode: 93514
Organization Email: chris.talbot@dot.ca.gov
Organization Phone: (760) 872-0794
General Comments for this Test: Cor - 3
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.309
Bulk Specific Gravity 2 2.322
Average Bulk Specific Gravity 2.316