Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 995320 DEA: 072XC604 EFIS: 0723000084
QA Service Level: 1
DIST-CO-RTE-PM: 07-VEN-33-12.6/16.5, 12.6/23.75
Work Description: Remove the mud and debris from the roadway, repair the eroded slopes, clean the drainage systems and basins, repair the damaged shoulders and roadside signs and markers, and fix the compromised drainage system
Location Description:
Contractor Name: Union Engineering Company Inc.
Contractor Address: P.O. BOX 1000, VENTURA, CA 93002
Resident Engineer: Shamim Naderi Structure Rep.: Hussam Buran
DIME Sample ID: 2023-11-30-43
TL Number from the TL Form: 1130A2
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: 11/30/2023
Date that the sample was received by the laboratory/organization performing the testing: 12/01/2023
The quantity of what the sample constitutes: 750 Tons
A brief description of the sample: 3/4" HMA-A 13762
From where was the sample collected: Manufacturer
Laboratory sample identification: 23-546
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite Santa Paula
DIME Test ID: 2023-11-30-43-1
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: 12/11/2023
Date Tested: 12/04/2023
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) 407-6963
General Comments for this Test:
Test Result Compliance: not applicable
Additional Comments When Verified:
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Number of Samples
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1
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What is the unit of measurement for theoretical density?
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US Units
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Mass Determination
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Air
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Method Performed
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Mechanical Agitation - Method A
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Mass of container filled with water 1
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7359.3 grams
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Mass of oven-dry sample in air for Sample 1
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2521.6 grams
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Mass of container filled with the sample and water for Sample 1
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8863.6 grams
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Temperature of Water
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77 °F
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Specific Gravity for Sample 1
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2.479
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Theoretical maximum density at 25°C (77°F)
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154.3 lb/ft^3
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DIME Test ID: 2023-11-30-43-2
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: 12/11/2023
Date Tested: 12/04/2023
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) 407-6963
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
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What temperature unit is used?
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Celsius
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Test procedure used?
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Method A
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Mass of the specimen basket assembly
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4023.8 g
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Mass of the specimen and specimen basket assembly prior to ignition
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6056.3 g
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Mass of HMA Sample prior to ignition
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2032.5 g
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Corrected Asphalt Binder Content
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4.99 %
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Mass Loss
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108.2 g
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Mass of aggregate remaining after ignition
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1924.3 g
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Correction Factor (Percent by mass of HMA Specimen)
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0.33 %
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Moisture Content
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no data0 %
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Temperature Compensation Factor
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no data0 %
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Test Temperature
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538 C
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