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Sample Record for 2023-12-07-27

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

Project Information

Project ID: 214663 DEA: 081F7304 EFIS: 0815000034 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-215-2.7
Work Description: REPLACE CONCRETE BRIDGE, PLACE CONCRETE PCPS GIRDERS AND HMA.
Location Description: SAN BERNARDINO COUNTY IN COLTON AT WASHINGTON STREET OVERCROSSING
Contractor Name: SECURITY PAVING COMPANY, INC.
Contractor Address: 13170 TELFAIR AVE, SYLMAR, CA, 91342
Resident Engineer: Shaine Shahidi Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-12-07-27
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: 12/07/2023
Date that the sample was received by the laboratory/organization performing the testing: 12/12/2023
The quantity of what the sample constitutes: 2 box, 7 cores
A brief description of the sample: HMA-A 3/4"
From where was the sample collected: Job Site
Laboratory sample identification: 9A,9B,9C,10A,10B,10C,11A
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
Test results on following page(s): 4

Test Results

Test 1 of 4

DIME Test ID: 2023-12-07-27-1
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: 12/15/2023
Date Tested: 12/14/2023
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 2.549
Theoretical maximum density at 25°C (77°F) 158.7 lb/ft^3

Test 2 of 4

DIME Test ID: 2023-12-07-27-2
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: 12/15/2023
Date Tested: 12/14/2023
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: 9A. 9B, 9C
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.328
Bulk Specific Gravity 2 2.431
Bulk Specific Gravity 3 2.43
Average Bulk Specific Gravity 2.396

Test 3 of 4

DIME Test ID: 2023-12-07-27-3
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: 12/15/2023
Date Tested: 12/14/2023
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: 10A, 10B, 10C
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.382
Bulk Specific Gravity 2 2.384
Bulk Specific Gravity 3 2.441
Average Bulk Specific Gravity 2.402

Test 4 of 4

DIME Test ID: 2023-12-07-27-4
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: 12/15/2023
Date Tested: 12/14/2023
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: 11A
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.399