Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994588 DEA: 081H3904 EFIS: 0817000032
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-15-R20.5/R21.6,R25.5/R30.7
Work Description: CONSTRUCT BUILDING, ROADWAY EXC, JPCP, AND TEMPORARY BARRIER SYSTEM.
Location Description: SAN BERNARDINO COUNTY FROM 0.6 MILE NORTH OF CLEGHORN ROAD UNDERCROSSING TO 0.5 MILE SOUTH OF ROUTE 138 AND FROM 0.5 MILE SOUTH OF TRUCK SAFETY CHECK AREA TO 0.4 MILE NORTH OF OAK HILL ROAD OVERCROSSING
Contractor Name: POWELL CONSTRUCTORS INC
Contractor Address: 8555 BANANA AVE, FONTANA, CA 92335
Resident Engineer: Mauricio Santa Cruz Structure Rep.: Oluwatayo (Tayo) Ogeyemi
DIME Sample ID: 2024-04-29-29
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Production Start-Up
Type of Material: Hot Mix Asphalt
Sample Taken Date: 04/29/2024
Date that the sample was received by the laboratory/organization performing the testing: 04/30/2024
The quantity of what the sample constitutes: 16 BOXES OF HMA, 2 QTS OIL, I QT OF LAS
A brief description of the sample: 3/4" HMA-A-SP R15 0.75%LAS
From where was the sample collected: Manufacturer
Laboratory sample identification: 0206A-24
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan-Oro Grande
DIME Test ID: 2024-04-29-29-1
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: 07/05/2024
Date Tested: 05/03/2024
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: (909) 829-3029
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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SI 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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7328.5 grams
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Mass of oven-dry sample in air for Sample 1
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2559.8 grams
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Mass of container filled with the sample and water for Sample 1
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8863.9 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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2.499
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Theoretical maximum density at 25°C (77°F)
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2492 kg/m^3
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DIME Test ID: 2024-04-29-29-2
Test Method: AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)
Verified Date: 07/05/2024
Date Tested: 05/04/2024
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: (909) 829-3029
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
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Percent Air Voids
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2.7 %
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Percent Air Voids 2
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2.9 %
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Percent Air Voids 3
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2.7 %
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Average Percent Air Voids
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2.8 %
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DIME Test ID: 2024-04-29-29-3
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: 07/05/2024
Date Tested: 05/04/2024
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: (909) 829-3029
General Comments for this Test:
Test Result Compliance: not applicable
Additional Comments When Verified:
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Bulk Specific Gravity
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2.431
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Bulk Specific Gravity 2
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2.427
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Bulk Specific Gravity 3
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2.432
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Average Bulk Specific Gravity
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2.43
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DIME Test ID: 2024-04-29-29-4
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: 07/05/2024
Date Tested: 05/03/2024
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: (909) 829-3029
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 HMA Sample prior to ignition
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2159 g
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Corrected Asphalt Binder Content
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4.79 %
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Mass Loss
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114.2 g
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Correction Factor (Percent by mass of HMA Specimen)
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0.36 %
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Moisture Content
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no data0 %
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Temperature Compensation Factor
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0.14 %
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Test Temperature
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538 C
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