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Sample Record for 2023-09-28-53

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

Project Information

Project ID: 995198 DEA: 072XC404 EFIS: 0723000083 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-101-9.609999999999999/9.609999999999999
Work Description:
Location Description:
Contractor Name: Powell Constructors Inc.
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-09-28-53
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: 09/28/2023
Date that the sample was received by the laboratory/organization performing the testing: 10/04/2023
The quantity of what the sample constitutes: 20 BOXES OF HMA
A brief description of the sample: 3/4" RHMA-G-SP 0.5% LAS
From where was the sample collected: Manufacturer
Laboratory sample identification: 0506G-23
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Sun Valley - Big Rock Creek

Material Information

HMA Type: RHMA-G
HMA Grading: 3/4 inch
Lot number:
Sublot number:
HMA Mix Number: 226108 SVA3 LTR
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: 2023-09-28-53-1
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: 11/17/2023
Date Tested: 10/05/2023
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 7352.8 grams
Mass of oven-dry sample in air for Sample 1 2554 grams
Mass of container filled with the sample and water for Sample 1 8860.5 grams
Temperature of Water 77 °F
Specific Gravity for Sample 1 2.441
Theoretical maximum density at 25°C (77°F) 2434 kg/m^3

Test 2 of 4

DIME Test ID: 2023-09-28-53-2
Test Method: AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)
Verified Date: 11/17/2023
Date Tested: 10/06/2023
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: does not comply
Additional Comments When Verified:
Percent Air Voids 8 %
Percent Air Voids 2 7.6 %
Percent Air Voids 3 8.2 %
Average Percent Air Voids 7.9 %

Test 3 of 4

DIME Test ID: 2023-09-28-53-3
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: 11/17/2023
Date Tested: 10/06/2023
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 2.245
Bulk Specific Gravity 2 2.256
Bulk Specific Gravity 3 2.241
Average Bulk Specific Gravity 2.247

Test 4 of 4

DIME Test ID: 2023-09-28-53-4
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: 11/17/2023
Date Tested: 10/07/2023
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 2117 g
Corrected Asphalt Binder Content 7.35 %
Mass Loss 161.6 g
Correction Factor (Percent by mass of HMA Specimen) 0.21 %
Moisture Content no data0 %
Temperature Compensation Factor 0.07 %
Test Temperature 538 C