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Sample Record for 2023-10-27-66

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Project Information

Project ID: 215425 DEA: 06360244 EFIS: 0613000005 QA Service Level: 1
DIST-CO-RTE-PM: 06-TUL-99-30.6/35.2
Work Description: Widen Freeway & Bridge Construction (Concrete Bridge)
Location Description:
Contractor Name: SECURITY PAVING COMPANY, INC.
Contractor Address: 13170 TELFAIR AVE, SYLMAR, CA, 91342
Resident Engineer: Javier Huerta Structure Rep.: Ramandeep Guraya

Sample Information

DIME Sample ID: 2023-10-27-66
TL Number from the TL Form:
Sample Submitted By Organization: CT D06 - Visalia Field Laboratory
Sample Organization Contact: (559) 341-4165
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 10/27/2023
Date that the sample was received by the laboratory/organization performing the testing: 10/27/2023
The quantity of what the sample constitutes: 0-2500 T
A brief description of the sample: 3/4 HMA-A PG64-10 Compaction Cores
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name: 06 Tul 99 J st Median
The fabricator/manufacturer/facility name: Security Paving -G3

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number: 5
Sublot number: 15
HMA Mix Number:
Test results on following page(s): 3

Test Results

Test 1 of 3

DIME Test ID: 2023-10-27-66-1
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: 11/16/2023
Date Tested: 10/31/2023
Submitted By Organization: CT D06 - Visalia Field Laboratory
Organization Address: 8530 West Roosevelt Avenue,
Organization City: Visalia
Organization State: CA
Organization Zipcode: 93291
Organization Email: shoaib.ahmed@dot.ca.gov
Organization Phone: (559) 341-4165
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.569
Bulk Specific Gravity 2 2.540
Bulk Specific Gravity 3 2.500
Average Bulk Specific Gravity 2.536

Test 2 of 3

DIME Test ID: 2023-10-27-66-2
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: 11/16/2023
Date Tested: 10/31/2023
Submitted By Organization: CT D06 - Visalia Field Laboratory
Organization Address: 8530 West Roosevelt Avenue,
Organization City: Visalia
Organization State: CA
Organization Zipcode: 93291
Organization Email: shoaib.ahmed@dot.ca.gov
Organization Phone: (559) 341-4165
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.518
Bulk Specific Gravity 2 2.493
Bulk Specific Gravity 3 2.492
Average Bulk Specific Gravity 2.501

Test 3 of 3

DIME Test ID: 2023-10-27-66-3
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: 11/16/2023
Date Tested: 10/31/2023
Submitted By Organization: CT D06 - Visalia Field Laboratory
Organization Address: 8530 West Roosevelt Avenue,
Organization City: Visalia
Organization State: CA
Organization Zipcode: 93291
Organization Email: shoaib.ahmed@dot.ca.gov
Organization Phone: (559) 341-4165
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.522
Bulk Specific Gravity 2 2.506
Bulk Specific Gravity 3 2.499
Average Bulk Specific Gravity 2.509