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Sample Record for 2018-04-02-7

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Project Information

Project ID: 212166 DEA: 051H4004 EFIS: 0516000070 QA Service Level: 1
DIST-CO-RTE-PM: 05-SLO-101-46.0/50.7
Work Description: RESURFACE EXISTING ROADBED WITH RHMA-O.
Location Description: SAN LUIS OBISPO COUNTY IN ATASCADERO AND TEMPLETON FROM TRAFFIC WAY TO VINEYARD DRIVE OVERCROSSING
Contractor Name: PAPICH CONSTRUCTION CO. INC.
Contractor Address: P.O. Box 2210, Pismo Beach, CA 93448
Resident Engineer: Anthony DeAnda Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2018-04-02-7
TL Number from the TL Form: T101 C920080
Sample Submitted By Organization: CT D02 - North Region Materials Lab
Sample Organization Contact: (530) 225-3194
Type of Sample: Dispute Resolution
Type of Material: Hot Mix Asphalt
Sample Taken Date: 04/02/2018
Date that the sample was received by the laboratory/organization performing the testing: 05/01/2018
The quantity of what the sample constitutes: ample
A brief description of the sample: 1/2 HMA A
From where was the sample collected: Job Site
Laboratory sample identification: D77342
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Sirra Pacific Paso Robles

Material Information

HMA Type: Type A HMA
HMA Grading: 1/2 inch
Lot number:
Sublot number:

Test Results

Test 1 of 5

DIME Test ID: 2018-04-02-7-1
Test Method: AASHTO T209-12: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)
Submitted By Organization: CT D02 - North Region Materials Lab
Organization Address: 1657 Riverside Dr,MS-83
Organization City: Redding
Organization State: CA
Organization Zipcode: 96001
Organization Email: ward.jenkins@dot.ca.gov
Organization Phone: (530) 225-3194
Data has not been verified.

Test 2 of 5

DIME Test ID: 2018-04-02-7-2
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 D02 - North Region Materials Lab
Organization Address: 1657 Riverside Dr,MS-83
Organization City: Redding
Organization State: CA
Organization Zipcode: 96001
Organization Email: ward.jenkins@dot.ca.gov
Organization Phone: (530) 225-3194
Data has not been verified.

Test 3 of 5

DIME Test ID: 2018-04-02-7-3
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 D02 - North Region Materials Lab
Organization Address: 1657 Riverside Dr,MS-83
Organization City: Redding
Organization State: CA
Organization Zipcode: 96001
Organization Email: ward.jenkins@dot.ca.gov
Organization Phone: (530) 225-3194
Data has not been verified.

Test 4 of 5

DIME Test ID: 2018-04-02-7-4
Test Method: AASHTO T324-14: Standard Method of Test for Hamburg Wheel-Track Testing of Compacted Asphalt Mixtures (Hamburg Wheel Track)
Submitted By Organization: CT D02 - North Region Materials Lab
Organization Address: 1657 Riverside Dr,MS-83
Organization City: Redding
Organization State: CA
Organization Zipcode: 96001
Organization Email: ward.jenkins@dot.ca.gov
Organization Phone: (530) 225-3194
Data has not been verified.

Test 5 of 5

DIME Test ID: 2018-04-02-7-5
Test Method: AASHTO T308-10: Standard Method of Test for Determining the Asphalt Binder Content of Hot Mix Asphalt (HMA) by the Ignition Method (Asphalt Binder Content)
Submitted By Organization: CT D02 - North Region Materials Lab
Organization Address: 1657 Riverside Dr,MS-83
Organization City: Redding
Organization State: CA
Organization Zipcode: 96001
Organization Email: ward.jenkins@dot.ca.gov
Organization Phone: (530) 225-3194
Data has not been verified.

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.