Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994770 DEA: 051M7604 EFIS: 0520000068
QA Service Level: 1
DIST-CO-RTE-PM: 05-MON-101-81.0/81.5
Work Description: CONSTRUCT ACCELERATION LANE WITH NEW HMA (TYPE A) & RE-STRIPE LANES.
Location Description: MONTEREY COUNTY SOUTH OF SALINAS ALONG ROUTE 101 NORTH FROM SPENCE ROAD TO ECKHARDT ROAD INTERSECTION
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 715 COMSTOCK STREET, SANTA CLARA CA 95054
Resident Engineer: Baljinder Brar Structure Rep.: Unknown
DIME Sample ID: 2024-01-26-24
TL Number from the TL Form: C021854
Sample Submitted By Organization: CT HQ - QASI Bay Area Field Office
Sample Organization Contact: (916) 284-6784
Type of Sample: Verification
Type of Material: Hot Mix Asphalt
Sample Taken Date: 01/26/2024
Date that the sample was received by the laboratory/organization performing the testing: 01/26/2024
The quantity of what the sample constitutes: In-Place HMA
A brief description of the sample: 4-inch dia. HMA core
From where was the sample collected: Job Site
Laboratory sample identification: 120+00 E
Structure unique identifier:
Structure name: 05-MON-101-81.0
The fabricator/manufacturer/facility name: Granite Construction
DIME Test ID: 2024-01-26-24-1
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: 01/30/2024
Date Tested: 01/30/2024
Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (530) 713-6823
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
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Bulk Specific Gravity
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2.212
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