Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000036 DEA: 120U2304 EFIS: 1223000056
QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-241-14.6/33.7
Work Description: COLD PLANE AC PAVEMENT, PLACE RHMA AND HMA.
Location Description: ORANGE COUNTY AT VARIOUS LOCATIONS FROM OSO PARKWAY OVERCROSSING TO SANTIAGO CREEK
Contractor Name: CALMEX ENGINEERING, INC.
Contractor Address: 2750 Lilac Ave, Bloomington, CA 92316
Resident Engineer: Luis Vazquez Structure Rep.: Unknown
DIME Sample ID: 2024-06-17-101
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: 06/17/2024
Date that the sample was received by the laboratory/organization performing the testing: 06/21/2024
The quantity of what the sample constitutes: 1/2 WMA-A
A brief description of the sample: HMA Cores
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: AAA - CORONA
DIME Test ID: 2024-06-17-101-1
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: 06/26/2024
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
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2.297
|
