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Sample Record for 2023-09-11-29

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

Project Information

Project ID: 993742 DEA: 07321804 EFIS: 0716000052 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-405-7.0/12.9
Work Description: PLACE MINOR CONCRETE AND HOT MIX ASPHALT.
Location Description: LOS ANGELES COUNTY IN AND NEAR LONG BEACH, CARSON AND LOS ANGELES AT VARIOUS LOCATIONS FROM 0.1 MILE NORTH OF ROUTE 710 TO ROUTE 110/405 SEPARATION
Contractor Name: WESTCOAST PUBLIC WORKS INC.
Contractor Address: Unknown
Resident Engineer: Samuel Gallardo Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-09-11-29
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: 09/11/2023
Date that the sample was received by the laboratory/organization performing the testing: 09/12/2023
The quantity of what the sample constitutes: 16 BOXES OF HMA
A brief description of the sample: 3/4" WMA-A-SP,R15 0.4% EVO
From where was the sample collected: Manufacturer
Laboratory sample identification: 0469A-23
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: AAA-Corona

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number:
Sublot number:
HMA Mix Number: 103793
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: 2023-09-11-29-1
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: 10/09/2023
Date Tested: 09/13/2023
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 7352.3 grams
Mass of oven-dry sample in air for Sample 1 2552.3 grams
Mass of container filled with the sample and water for Sample 1 8894.6 grams
Temperature of Water 77 °F
Specific Gravity for Sample 1 2.527
Theoretical maximum density at 25°C (77°F) 2520 kg/m^3

Test 2 of 4

DIME Test ID: 2023-09-11-29-2
Test Method: AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)
Verified Date: 10/09/2023
Date Tested: 09/14/2023
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 2.9 %
Percent Air Voids 2 2.7 %
Percent Air Voids 3 2.9 %
Average Percent Air Voids 2.8 %

Test 3 of 4

DIME Test ID: 2023-09-11-29-3
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: 10/09/2023
Date Tested: 09/14/2023
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 2.454
Bulk Specific Gravity 2 2.458
Bulk Specific Gravity 3 2.454
Average Bulk Specific Gravity 2.455

Test 4 of 4

DIME Test ID: 2023-09-11-29-4
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: 10/09/2023
Date Tested: 09/13/2023
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 2008 g
Corrected Asphalt Binder Content 4.8 %
Mass Loss 104 g
Correction Factor (Percent by mass of HMA Specimen) 0.3 %
Moisture Content no data0 %
Temperature Compensation Factor 0.08 %
Test Temperature 538 C