Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214451 DEA: 07303704 EFIS: 0714000035
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-101-8.0/27.3
Work Description: REPLACE CONCRETE BARRIERS.
Location Description: THE CITY AND COUNTY OF LOS ANGELES FROM PILGRIMAGE OVERCROSSING TO VALLEY CIRCLE BOULEVARD OVERCROSSING
Contractor Name: OHL USA
Contractor Address: 1920 Main Street, Suite 310, Irvine, California 92614
Resident Engineer: Kevin Bui Structure Rep.: Kwangsuk Suh
DIME Sample ID: 2023-08-14-48
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Production Start-Up
Type of Material: Hot Mix Asphalt
Sample Taken Date: 08/14/2023
Date that the sample was received by the laboratory/organization performing the testing: 08/17/2023
The quantity of what the sample constitutes: 20 BOXES OF HMA
A brief description of the sample: 3/4" HMA-A-SP R15 NO LAS
From where was the sample collected: Manufacturer
Laboratory sample identification: 0418A-23
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: All American Asphalt-Irwindale
DIME Test ID: 2023-08-14-48-1
Test Method: AASHTO T308-10: Standard Method of Test for Determining the Asphalt Binder Content of Hot Mix Asphalt (HMA) by the Ignition Method (Method A) (Asphalt Binder Content)
Verified Date: 09/06/2023
Date Tested: 08/19/2023
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: 9098293029
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
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What temperature unit is used?
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Celsius
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Test procedure used?
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Method A
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Mass of HMA Sample prior to ignition
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2166.0 g
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Corrected Asphalt Binder Content
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4.70 %
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Mass Loss
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114.0 g
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Correction Factor (Percent by mass of HMA Specimen)
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0.44 %
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Moisture Content
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0.00 %
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Temperature Compensation Factor
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0.00 %
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Test Temperature
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538 C
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DIME Test ID: 2023-08-14-48-2
Test Method: AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: 9098293029
Data has not been verified.
DIME Test ID: 2023-08-14-48-3
Test Method: AASHTO T209-12: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: 9098293029
Data has not been verified.
DIME Test ID: 2023-08-14-48-4
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)
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: 9098293029
Data has not been verified.
