Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 213306 DEA: 07303404 EFIS: 0714000006
QA Service Level: 1
DIST-CO-RTE-PM: 07-VEN-33-0.0/6.3
Work Description: COLD PLANE AC PVMT, PLACE RUBBERIZED AC (TYPE G), AND REPLACE PCC PVMT
Location Description: VENTURA COUNTY IN AND NEAR VENTURA FROM ROUTE 33/101 SEPARATION TO 0.1 MILE SOUTH OF PARK VIEW DRIVE
Contractor Name: CA Rasmussen -
Contractor Address: 28548 LIVINGSTON AVENUE, VALENICA, CA 91355
Resident Engineer: Houshang Shohet Structure Rep.: Unknown
DIME Sample ID: 2024-04-30-58
TL Number from the TL Form: 3234041
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: 04/30/2024
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: 24-080
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Materials Sun Valley
DIME Test ID: 2024-04-30-58-1
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) 407-6963
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
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Bulk Specific Gravity
|
2.378
|
|
Bulk Specific Gravity 2
|
2.411
|
|
Bulk Specific Gravity 3
|
2.363
|
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Average Bulk Specific Gravity
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2.384
|