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Sample Record for 2023-08-21-23

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

Project Information

Project ID: 994649 DEA: 070W4204 EFIS: 0722000051 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-170-R14.5/R20.6
Work Description: SLURRY SEAL AND REPLACE ASPHALT CONCRETE SURFACING.
Location Description: LOS ANGELES COUNTY IN LOS ANGELES FROM JUNCTION ROUTE 134 TO ROUTE 170/5 SEPARATION
Contractor Name: INTERMOUNTAIN SLURRY SEAL, INC.
Contractor Address: Unknown
Resident Engineer: Kevin Bui Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-08-21-23
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: 08/21/2023
Date that the sample was received by the laboratory/organization performing the testing: 08/23/2023
The quantity of what the sample constitutes: 16 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: 0425A-23
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: All American Asphalt-Irwindale

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number: 1
Sublot number: 1
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): 4

Test Results

Test 1 of 4

DIME Test ID: 2023-08-21-23-1
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: 09/05/2023
Date Tested: 08/24/2023
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: (909) 829-3029
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? SI Units
Mass Determination Air
Method Performed Mechanical Agitation - Method A
Mass of container filled with water 1 7352.6 grams
Mass of oven-dry sample in air for Sample 1 2564.4 grams
Mass of container filled with the sample and water for Sample 1 8911.2 grams
Temperature of Water 77 °F
Specific Gravity for Sample 1 2.55
Theoretical maximum density at 25°C (77°F) 2543 kg/m^3

Test 2 of 4

DIME Test ID: 2023-08-21-23-2
Test Method: AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)
Verified Date: 09/05/2023
Date Tested: 08/24/2023
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: (909) 829-3029
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Percent Air Voids 4.6 %
Percent Air Voids 2 4.4 %
Percent Air Voids 3 4.6 %
Average Percent Air Voids 4.5 %

Test 3 of 4

DIME Test ID: 2023-08-21-23-3
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: 09/05/2023
Date Tested: 08/25/2023
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: (909) 829-3029
General Comments for this Test:
Test Result Compliance: not applicable
Additional Comments When Verified:
Bulk Specific Gravity 2.433
Bulk Specific Gravity 2 2.438
Bulk Specific Gravity 3 2.432
Average Bulk Specific Gravity 2.434

Test 4 of 4

DIME Test ID: 2023-08-21-23-4
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: 09/05/2023
Date Tested: 08/24/2023
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: (909) 829-3029
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
What temperature unit is used? Celsius
Test procedure used? Method A
Mass of HMA Sample prior to ignition 2120 g
Corrected Asphalt Binder Content 4.5 %
Mass Loss 107.1 g
Correction Factor (Percent by mass of HMA Specimen) 0.49 %
Moisture Content no data0 %
Temperature Compensation Factor no data0 %
Test Temperature 538 C