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Sample Record for 2024-04-24-90

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

Project Information

Project ID: 994328 DEA: 081H0604 EFIS: 0816000130 QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-74-34.3/45.1
Work Description: FIBER OPTIC CABLE SYSTEMS, RHMA, HMA, AND MINOR CONCRETE.
Location Description: RIVERSIDE COUNTY IN AND NEAR HEMET FROM WINCHESTER ROAD TO FAIRVIEW AVENUE
Contractor Name: GRIFFITH COMPANY
Contractor Address: Unknown
Resident Engineer: Omar Sanchez Structure Rep.: Arnel Vega

Sample Information

DIME Sample ID: 2024-04-24-90
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: 04/24/2024
Date that the sample was received by the laboratory/organization performing the testing: 04/30/2024
The quantity of what the sample constitutes: 1 box, 2 cores to be cut into 4
A brief description of the sample: HMA-A 3/4"
From where was the sample collected: Job Site
Laboratory sample identification: 2A,2B,2C,3A
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): 5

Test Results

Test 1 of 5

DIME Test ID: 2024-04-24-90-1
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: 05/24/2024
Date Tested: 05/01/2024
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 2.522
Theoretical maximum density at 25°C (77°F) 157 lb/ft^3

Test 2 of 5

DIME Test ID: 2024-04-24-90-2
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: 05/24/2024
Date Tested: 05/01/2024
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: 2A, 2B, 2C
Test Result Compliance: does not comply
Additional Comments When Verified:
Bulk Specific Gravity 2.474
Bulk Specific Gravity 2 2.463
Bulk Specific Gravity 3 2.474
Average Bulk Specific Gravity 2.47

Test 3 of 5

DIME Test ID: 2024-04-24-90-3
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: 05/24/2024
Date Tested: 05/01/2024
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
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.442

Test 4 of 5

DIME Test ID: 2024-04-24-90-4
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: 05/24/2024
Date Tested: 05/14/2024
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: 4A, 4B, 4C
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.443
Bulk Specific Gravity 2 2.432
Bulk Specific Gravity 3 2.37
Average Bulk Specific Gravity 2.415

Test 5 of 5

DIME Test ID: 2024-04-24-90-5
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: 05/24/2024
Date Tested: 05/14/2024
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: 5A
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.411