Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 213765 DEA: 081J1804 EFIS: 0817000221
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-10-R105.2/R135.1
Work Description: REPLACE ASPHALT CONCRETE SURFACING & UPGRADE TRAFFIC STRIPING
Location Description: RIVERSIDE COUNTY FROM 0.1 MILE EAST OF ROUTE 177 TO 0.1 MILE EAST OF WILEY WELL OVERCROSSING
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 38000 Monroe St, Indio, CA 92203
Resident Engineer: Vu Khoi Structure Rep.: Unknown
DIME Sample ID: 2019-03-05-5
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 03/05/2019
Date that the sample was received by the laboratory/organization performing the testing: 03/05/2019
The quantity of what the sample constitutes: 4 boxes 280.81 tons out
A brief description of the sample: 3/4" HMA-A R15 PG 64-28M (1% Lime Slurry)
From where was the sample collected: Source
Laboratory sample identification: 0160A-19
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite Indio
DIME Test ID: 2019-03-05-5-1
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)
Verified Date: 03/12/2019
Date Tested: 03/07/2019
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: 213-792-4794
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
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Asphalt Binder Content
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4.31 %
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Correction Factor (Percent by mass of HMA Specimen)
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no data
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