Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994968 DEA: 120M82C4 EFIS: 1219000036
QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-1-7.9/10.5
Work Description: Place RHMA-G and minor concrete and modify electrical system.
Location Description: In Orange County In Laguna Beach, On State Route 1 (Also Known As Pacific Coast Highway Or Sr-1) From Ruby Street (Pm 7.9) To Ledroit
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Artin Merati Structure Rep.: Unknown
DIME Sample ID: 2024-04-23-98
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: 04/23/2024
Date that the sample was received by the laboratory/organization performing the testing: 04/23/2024
The quantity of what the sample constitutes: 3/4 HMA-A
A brief description of the sample: 3/4 HMA-A
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Blue Diamond Irwindale
DIME Test ID: 2024-04-23-98-1
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: 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:
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Bulk Specific Gravity
|
2.35
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