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Sample Record for 2024-04-19-55

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

Project Information

Project ID: 994944 DEA: 081J2304 EFIS: 0818000002 QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-60-R1.0/12.0
Work Description: RAMP METERING SYSTEM, HMA (TYPE A), RDWY EXC, MOD SIGNAL & LTG SYSTEMS
Location Description: RIVERSIDE COUNTY IN AND NEAR JURUPA VALLEY AND RIVERSIDE AT VARIOUS LOCATIONS FROM WINEVILLE ROAD UNDERCROSSING TO 0.2 MILE WEST OF ROUTE 60/91 SEPARATION
Contractor Name: POWELL CONSTRUCTORS INC
Contractor Address: 8555 BANANA AVE, FONTANA, CA 92335
Resident Engineer: Mahfual Alam Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2024-04-19-55
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Sample Organization Contact: 9512323690
Type of Sample: Department Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 04/19/2024
Date that the sample was received by the laboratory/organization performing the testing: 04/23/2024
The quantity of what the sample constitutes: 1 box, 2 cores
A brief description of the sample: HMA-A 3/4"
From where was the sample collected: Job Site
Laboratory sample identification: 3A,5A
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: AAA Corona

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number:
Sublot number:
HMA Mix Number: 105927
Binder content (%):
Virgin binder PG:
Design binder PG:
Binder Supplier:
RAP content (%):
WMA Additives:
Antistrip type:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2024-04-19-55-1
Test Method: AASHTO T209-12: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)
Verified Date: 05/21/2024
Date Tested: 04/24/2024
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Number of tests 1
What is the unit of measurement for theoretical density? US Units
Mass Determination Air
Specific Gravity for Sample 1 2.563
Theoretical maximum density at 25°C (77°F) 159.5 lb/ft^3

Test 2 of 2

DIME Test ID: 2024-04-19-55-2
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: 05/21/2024
Date Tested: 04/25/2024
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test: 3A, 5A
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.367
Bulk Specific Gravity 2 2.392
Average Bulk Specific Gravity 2.38