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Sample Record for 2024-05-23-44

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

Project Information

Project ID: 995233 DEA: 120U1804 EFIS: 1223000052 QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-22,55-R3.3/R13.2,12.7/13.0
Work Description: COLD PLANE AND REPLACE EXISTING PAVEMENT WITH RHMA AND HMA.
Location Description: ORANGE COUNTY AT VARIOUS LOCATIONS
Contractor Name: R.J. NOBLE COMPANY
Contractor Address: 15505 East Lincoln Avenue, Orange, CA 92865
Resident Engineer: Mike Ezzedine Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2024-05-23-44
TL Number from the TL Form:
Sample Submitted By Organization: CT D12 - Huntington Beach Field Laboratory
Sample Organization Contact: 9492798846
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 05/23/2024
Date that the sample was received by the laboratory/organization performing the testing: 05/23/2024
The quantity of what the sample constitutes: 1/2 RHMAG
A brief description of the sample: 1/2 RHMAG
From where was the sample collected: Manufacturer
Laboratory sample identification: 24-0581
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: RJ Noble Orange

Material Information

HMA Type: RHMA-G
HMA Grading: 1/2 inch
Lot number:
Sublot number:
HMA Mix Number:

Test Results

Test 1 of 3

DIME Test ID: 2024-05-23-44-1
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)
Submitted By Organization: CT D12 - Huntington Beach Field Laboratory
Organization Address: 19601 Beach Boulevard,
Organization City: Huntington Beach
Organization State: CA
Organization Zipcode: 92648
Organization Email: frank.mai@dot.ca.gov
Organization Phone: (949) 279-8846
Data has not been verified.

Test 2 of 3

DIME Test ID: 2024-05-23-44-2
Test Method: AASHTO T209-12: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)
Submitted By Organization: CT D12 - Huntington Beach Field Laboratory
Organization Address: 19601 Beach Boulevard,
Organization City: Huntington Beach
Organization State: CA
Organization Zipcode: 92648
Organization Email: frank.mai@dot.ca.gov
Organization Phone: (949) 279-8846
Data has not been verified.

Test 3 of 3

DIME Test ID: 2024-05-23-44-3
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)
Submitted By Organization: CT D12 - Huntington Beach Field Laboratory
Organization Address: 19601 Beach Boulevard,
Organization City: Huntington Beach
Organization State: CA
Organization Zipcode: 92648
Organization Email: frank.mai@dot.ca.gov
Organization Phone: (949) 279-8846
Data has not been verified.