Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994686 DEA: 051K4604 EFIS: 0518000210
QA Service Level: 1
DIST-CO-RTE-PM: 05-SLO-46-29.7/32.2
Work Description: COLD PLANE, PLACE HMA, RHMA, CONC PVMT, MODIFY SIGNAL AND LIGHTING.
Location Description: SAN LUIS OBISPO COUNTY IN PASO ROBLES FROM 300 FEET WEST OF ROUTE 101/46 SEPARATION TO 0.1 MILE EAST OF AIRPORT ROAD
Contractor Name: PAPICH CONSTRUCTION COMPANY, INC.
Contractor Address: 800 FARROLL RD, GROVER BEACH, CA 93433
Resident Engineer: Michael Schmidt Structure Rep.: Ray Barajas
DIME Sample ID: 2024-06-10-90
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Dispute Resolution
Type of Material: Hot Mix Asphalt
Sample Taken Date: 06/10/2024
Date that the sample was received by the laboratory/organization performing the testing: 06/19/2024
The quantity of what the sample constitutes: Two boxes of mix, and 1 core.
A brief description of the sample: 1/2" RHMA-G
From where was the sample collected: Job Site
Laboratory sample identification: 024-036
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: SPM-Templeton
DIME Test ID: 2024-06-10-90-1
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: 06/20/2024
Date Tested: 06/20/2024
Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (530) 713-6823
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
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Number of tests
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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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Water
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Method Performed
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Mechanical Agitation - Method A
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Mass of oven-dry sample in air for Sample 1
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1609.6 grams
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Mass of sample in water for Sample 1
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925.5 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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2.353
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Theoretical maximum density at 25°C (77°F)
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146.5 lb/ft^3
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DIME Test ID: 2024-06-10-90-2
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: 06/20/2024
Date Tested: 06/20/2024
Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (530) 713-6823
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
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Bulk Specific Gravity
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2.133
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DIME Test ID: 2024-06-10-90-3
Test Method: AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)
Verified Date: 06/20/2024
Date Tested: 06/20/2024
Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (530) 713-6823
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified: