Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214708 DEA: 07323904 EFIS: 0716000072
QA Service Level: 1
DIST-CO-RTE-PM: 07---
Work Description: COLD PLANE AC, PLACE RUBBERIZED HOT MIX AS
Location Description: VENTURA COUNTY NEAR VENTURA FROM ROUTE 1/101 SEPARATION TO MOBIL PIER ROAD.
Contractor Name: C. A. Rasmussen, Inc.
Contractor Address: 28548 Livingston Avenue, Valencia, CA 91355
Resident Engineer: Alfred Ira Structure Rep.: Unknown
DIME Sample ID: 2024-05-29-58
TL Number from the TL Form: 018801
Sample Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Sample Organization Contact: (213) 817-0387
Type of Sample: Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 05/29/2024
Date that the sample was received by the laboratory/organization performing the testing: 05/30/2024
The quantity of what the sample constitutes: 750 Tons
A brief description of the sample: 4X8 PCC cylinders
From where was the sample collected: Manufacturer
Laboratory sample identification: 24-102
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Materials Saticoy
DIME Test ID: 2024-05-29-58-1
Test Method: AASHTO T209-22: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)
Verified Date: 06/05/2024
Date Tested: 05/31/2024
Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Organization Address: 1940 South Workman Mill Road,
Organization City: Whittier
Organization State: CA
Organization Zipcode: 90601
Organization Email: chad.chotibhongs@dot.ca.gov
Organization Phone: (213) 407-6963
General Comments for this Test:
Test Result Compliance: not applicable
Additional Comments When Verified:
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Number of Samples
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1
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What is the unit of measurement for theoretical density?
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US Units
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Mass Determination
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Air
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Method Performed
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Mechanical Agitation - Method A
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Mass of container filled with water 1
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7359.3 grams
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Mass of oven-dry sample in air for Sample 1
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1553.6 grams
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Mass of container filled with the sample and water for Sample 1
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8263 grams
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Temperature of Water
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77 °F
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Specific Gravity for Sample 1
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2.391
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Theoretical maximum density at 25°C (77°F)
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148.8 lb/ft^3
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DIME Test ID: 2024-05-29-58-2
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 D07 - Materials Field Laboratory, Unit 1953
Organization Address: 1940 South Workman Mill Road,
Organization City: Whittier
Organization State: CA
Organization Zipcode: 90601
Organization Email: chad.chotibhongs@dot.ca.gov
Organization Phone: (213) 407-6963
Data has not been verified.