Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994633 DEA: 120T6604 EFIS: 1222000076
QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-74-0.0/5.3
Work Description: Cold plane AC pavement and place RHMA
Location Description: Orange County in and near San Juan Capistrano from Route 5/74 Separation to Gibby Road.
Contractor Name: Martin Marietta San Diego Aggregates LLC dba ATP General Engineering Contractors
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown
DIME Sample ID: 2023-11-08-117
TL Number from the TL Form:
Sample Submitted By Organization: CT D12 - Huntington Beach Field Laboratory
Sample Organization Contact: 9492798846
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 11/08/2023
Date that the sample was received by the laboratory/organization performing the testing: 11/08/2023
The quantity of what the sample constitutes: HMA CORES
A brief description of the sample: 3/4 RHMAG
From where was the sample collected: Job Site
Laboratory sample identification: 23-1245
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Martin Mariett(CCA) Lake Elsinore
DIME Test ID: 2023-11-08-117-1
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: 01/24/2024
Date Tested: 01/10/2024
Submitted By Organization: CT D12 - Huntington Beach Field Laboratory
Organization Address: 19601 Beach Boulevard,
Organization City: Huntington Beach
Organization State: CA
Organization Zipcode: 92648
Organization Email: frank.mai@dot.ca.gov
Organization Phone: (949) 279-8846
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
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Bulk Specific Gravity
|
2.272
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