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Sample Record for 2023-10-21-23

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Project Information

Project ID: 214337 DEA: 080E33U4 EFIS: 0817000075 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-115-R7.3/R10.0
Work Description: ADD WB AUX & EB DECEL LANES, WIDEN I15 SW CONNECT,RAMPS/BRDG
Location Description: SAN BERNARDINO COUNTY IN ONTARIO FROM 0.2 MILE WEST OF CUCAMONGA CREEK BRIDGE TO MILLIKEN AVENUE
Contractor Name: Ames Construction
Contractor Address: 391 North Main Street, Suite 302, Corona, CA 92880
Resident Engineer: Denise Sostrom Structure Rep.: Matt Bruce

Sample Information

DIME Sample ID: 2023-10-21-23
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Sample Organization Contact: 9512323690
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 10/21/2023
Date that the sample was received by the laboratory/organization performing the testing: 11/02/2023
The quantity of what the sample constitutes: 7 Cores
A brief description of the sample: HMA-SP Type A 3/4"
From where was the sample collected: Job Site
Laboratory sample identification: 1A, 1B, 1C, 2A, 2B, 2C, 3A
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: 105927
Binder content (%):
Virgin binder PG:
Design binder PG:
Binder Supplier:
RAP content (%):
WMA Additives:
Antistrip type:
Test results on following page(s): 5

Test Results

Test 1 of 5

DIME Test ID: 2023-10-21-23-1
Test Method: AASHTO T209-12: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)
Verified Date: 11/29/2023
Date Tested: 11/17/2023
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Number of tests 1
What is the unit of measurement for theoretical density? US Units
Mass Determination Air
Specific Gravity for Sample 1 2.534
Theoretical maximum density at 25°C (77°F) 157.7 lb/ft^3

Test 2 of 5

DIME Test ID: 2023-10-21-23-2
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: 11/29/2023
Date Tested: 11/13/2023
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test: Cores 1A, 1B, 1C
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.395
Bulk Specific Gravity 2 2.383
Bulk Specific Gravity 3 2.388
Average Bulk Specific Gravity 2.389

Test 3 of 5

DIME Test ID: 2023-10-21-23-3
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: 11/29/2023
Date Tested: 11/13/2023
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test: Cores 2A, 2B, 2C
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.374
Bulk Specific Gravity 2 2.376
Bulk Specific Gravity 3 2.362
Average Bulk Specific Gravity 2.371

Test 4 of 5

DIME Test ID: 2023-10-21-23-4
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: 11/29/2023
Date Tested: 11/13/2023
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test: Core 3A
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.393

Test 5 of 5

DIME Test ID: 2023-10-21-23-5
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: 11/29/2023
Date Tested: 11/08/2023
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test: Cores 1AA, 1BB
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.419
Bulk Specific Gravity 2 2.314
Average Bulk Specific Gravity 2.367