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Sample Record for 2024-05-08-100

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

Project Information

Project ID: 994327 DEA: 081G4704 EFIS: 0816000001 QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-74-3.1/53.5
Work Description: STRUCTURAL CONC BR, CONC SLAB, HMA (TYPE A), ALT CRASH CUSHION SYSTEM.
Location Description: RIVERSIDE COUNTY NEAR LAKE ELSINORE AT MORRILL CANYON BRIDGE AND NEAR HEMET AT STRAWBERRY CREEK BRIDGE.
Contractor Name: BEADOR CONSTRUCTION COMPANY, INC.
Contractor Address: 26320 LESTER CIRCLE;, CORONA CA 92883
Resident Engineer: Mike A Bergevin Structure Rep.: Arnel Vega

Sample Information

DIME Sample ID: 2024-05-08-100
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Sample Organization Contact: 9512323690
Type of Sample: Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 05/08/2024
Date that the sample was received by the laboratory/organization performing the testing: 06/07/2024
The quantity of what the sample constitutes: 1 box, 3 cores
A brief description of the sample: HMA-A 3/4"
From where was the sample collected: Job Site
Laboratory sample identification: 1A5, 1B5, 1C5
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: AAA Corona

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number:
Sublot number:
HMA Mix Number: 105927
Binder content (%):
Virgin binder PG:
Design binder PG:
Binder Supplier:
RAP content (%):
WMA Additives:
Antistrip type:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2024-05-08-100-1
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: 06/25/2024
Date Tested: 06/07/2024
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Number of tests 1
What is the unit of measurement for theoretical density? US Units
Mass Determination Air
Specific Gravity for Sample 1 2.537
Theoretical maximum density at 25°C (77°F) 157.9 lb/ft^3

Test 2 of 2

DIME Test ID: 2024-05-08-100-2
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: 06/25/2024
Date Tested: 06/07/2024
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test: 1A5, 1B5, 1C5
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.404
Bulk Specific Gravity 2 2.389
Bulk Specific Gravity 3 2.395
Average Bulk Specific Gravity 2.396