Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993844 DEA: 070W1004 EFIS: 0721000043
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-5-31.8/42.6
Work Description: PLACE RUBBERIZED HMA (GAP GRADED)
Location Description: LOS ANGELES COUNTY IN BURBANK AND LOS ANGELES FROM COHASSET STREET UNDERCROSSING TO ROXFORD STREET UNDERCROSSING
Contractor Name: C. A. RASMUSSEN INC
Contractor Address: 28548 LIVINGSTON AVE, VALENCIA, CA 91355
Resident Engineer: Sam Toutounchian Structure Rep.: Unknown
DIME Sample ID: 2023-06-08-82
TL Number from the TL Form: na
Sample Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Sample Organization Contact: (213) 817-0387
Type of Sample: Department Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 06/08/2023
Date that the sample was received by the laboratory/organization performing the testing: 07/21/2023
The quantity of what the sample constitutes: 750 Tons
A brief description of the sample: 3/4" hma - a220831 sva sjr
From where was the sample collected: Job Site
Laboratory sample identification: 23-292
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Sun Valley
DIME Test ID: 2023-06-08-82-1
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: 10/10/2023
Date Tested: 07/28/2023
Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Organization Address: 1940 South Workman Mill Road,
Organization City: Whittier
Organization State: CA
Organization Zipcode: 90601
Organization Email: chad.chotibhongs@dot.ca.gov
Organization Phone: (213) 817-0387
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
|
Bulk Specific Gravity
|
2.338
|
|
Bulk Specific Gravity 2
|
2.300
|
|
Average Bulk Specific Gravity
|
2.319
|
