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Sample Record for 2024-05-30-8

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

Project Information

Project ID: 994619 DEA: 120S7804 EFIS: 1221000044 QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-73-11.0/11.3
Work Description: PLACE HMA, INSTALL FRAME AND GRATE, AND SIGNS.
Location Description: ORANGE COUNTY IN LAGUNA NIGUEL FROM 0.3 MILE TO 0.1 MILE SOUTH OF CABOT ROAD UNDERCROSSING
Contractor Name: POLO ENGINEERING, INC.
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2024-05-30-8
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: 05/30/2024
Date that the sample was received by the laboratory/organization performing the testing: 05/28/2024
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: 24-0587
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: AAA - CORONA

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: 2024-05-30-8-1
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)
Verified Date: 07/01/2024
Date Tested: 05/30/2024
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
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
What temperature unit is used? Celsius
Test procedure used? Method A
Mass of the specimen basket assembly 3956.3 g
Mass of the specimen and specimen basket assembly prior to ignition 5559.5 g
Mass of HMA Sample prior to ignition 1603.2 g
Corrected Asphalt Binder Content 7.47 %
Mass Loss 122.3 g
Mass of aggregate remaining after ignition 1480.9 g
Correction Factor (Percent by mass of HMA Specimen) 0.16 %
Moisture Content no data0 %
Temperature Compensation Factor no data0 %
Test Temperature 538 C

Test 2 of 3

DIME Test ID: 2024-05-30-8-2
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: 07/01/2024
Date Tested: 05/30/2024
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
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Number of tests 1
What is the unit of measurement for theoretical density? US Units
Mass Determination Air
Method Performed Mechanical Agitation - Method A
Mass of container filled with water 7309 grams
Mass of oven-dry sample in air for Sample 1 1536.4 grams
Mass of container filled with the sample and water for Sample 1 8224.2 grams
Temperature of Water 77 °F
Specific Gravity for Sample 1 2.473
Theoretical maximum density at 25°C (77°F) 153.9 lb/ft^3

Test 3 of 3

DIME Test ID: 2024-05-30-8-3
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: 07/01/2024
Date Tested: 05/31/2024
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
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.294