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Sample Record for 2017-10-12-15

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

Project Information

Project ID: 211878 DEA: 11418514 EFIS: 1115000139 QA Service Level: 1
DIST-CO-RTE-PM: 11-IMP-8-R40.4/R45.5,R55.0/65.0
Work Description: CONSTRUCT CRCP OVERLAY, HMA-A, AND LIGHTING.
Location Description: IMPERIAL COUNTY NEAR EL CENTRO FROM 0.5 MILE WEST OF ROUTE 8/111 SEPARATION TO 0.6 MILE WEST OF ANDERHOLT ROAD OVERCROSSING AND FROM 0.5 MILE EAST OF EAST HIGHLINE CANAL BRIDGE TO 0.8 MILE WEST OF EAST JUNCTION ROUTE 98/8 SEPERATION
Contractor Name: SECURITY PAVING COMPANY, INC.
Contractor Address: 13170 TELFAIR AVENUE, SYLMAR, CA 91342
Resident Engineer: Daniel Hernandez-Duarte Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2017-10-12-15
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT - Unassigned/General Field Laboratory
Sample Organization Contact: 5625005861
Type of Sample: Verification
Type of Material: Hot Mix Asphalt
Sample Taken Date: 10/12/2017
Date that the sample was received by the laboratory/organization performing the testing: 10/18/2017
The quantity of what the sample constitutes: 750 Tons
A brief description of the sample: Hot mix asphalt in boxes
From where was the sample collected: Job Site
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: API Gateway

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number:
Sublot number:
HMA Mix Number:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2017-10-12-15-3
Test Method: AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)
Submitted By Organization: CT - Unassigned/General Field Laboratory
Organization Address: 5900 Folsom Boulevard, MS 5,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: brett.soldano@dot.ca.gov
Organization Phone: (562) 500-5861
Data has not been verified.

Test 2 of 2

DIME Test ID: 2017-10-12-15-4
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)
Submitted By Organization: CT - Unassigned/General Field Laboratory
Organization Address: 5900 Folsom Boulevard, MS 5,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: brett.soldano@dot.ca.gov
Organization Phone: (562) 500-5861
Data has not been verified.

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
2017-10-12-15-1AASHTO T209-12: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)03/12/2018Not scheduledJayne DowdaCT - Unassigned/General Field Laboratory
2017-10-12-15-2AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)03/12/2018Not scheduledJayne DowdaCT - Unassigned/General Field Laboratory