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Sample Record for 2024-04-10-96

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

Project Information

Project ID: 993664 DEA: 073311U4 EFIS: 0719000098 QA Service Level: 1
DIST-CO-RTE-PM: 07-VEN-23,101-R3.3/R3.7,0.2/40.8
Work Description: CONSTRUCT GUARDRAILS AND CONCRETE BARRIER.
Location Description: VENTURA COUNTY IN THOUSAND OAKS, CAMARILLO, OXNARD AND VENTURA ON ROUTE 101 FROM THE LOS ANGELES /VENTURA COUNTY LINE TO OLD PACIFIC COAST HIGHWAY AND ON ROUTE 23 FROM ROUTE 23/101 SEPARATION TO HILLCREST DRIVE
Contractor Name: Peterson Chase General Engineering
Contractor Address: 16351 Construction Circle West, Irvine, CA 92606
Resident Engineer: Alfred Ira Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2024-04-10-96
TL Number from the TL Form: 04-10
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: 04/10/2024
Date that the sample was received by the laboratory/organization performing the testing: 05/10/2024
The quantity of what the sample constitutes: 750 Tons
A brief description of the sample: 4-inch dia. HMA core
From where was the sample collected: Job Site
Laboratory sample identification: 24-076
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Peterson Chase

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number:
Sublot number:
HMA Mix Number: 220831A SVA LTR
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2024-04-10-96-1
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: 05/16/2024
Date Tested: 05/14/2024
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) 817-0387
General Comments for this Test:
Test Result Compliance: not applicable
Additional Comments When Verified:
Bulk Specific Gravity 2.36