Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 212645 DEA: 080N9714 EFIS: 0815000101
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-395-39.0/45.9
Work Description: WIDEN EXISTING SHOULDERS TO 8' AND CONSTRUCT 4' MEDIAN BUFFER
Location Description: SAN BERNARDINO COUNTY NEAR ADELANTO FROM 2.2 MILES NORTH OF KRAMER ROAD TO ROUTE 58
Contractor Name: SULLY-MILLER CONTRACTING COMPANY
Contractor Address: 135 S State College Blvd, Brea, CA 92821
Resident Engineer: Maged Youssef Structure Rep.: Unknown
DIME Sample ID: 2019-04-23-9
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: 04/23/2019
Date that the sample was received by the laboratory/organization performing the testing: 04/29/2019
The quantity of what the sample constitutes: 124.10 tons out
A brief description of the sample: 1/2" HMA-A R15 PG 64-28M (1.0% Lime Slurry)
From where was the sample collected: Source
Laboratory sample identification: 0252A-19
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Blue Diamond Victorville
DIME Test ID: 2019-04-23-9-1
Test Method: AASHTO T308-10: Standard Method of Test for Determining the Asphalt Binder Content of Hot Mix Asphalt (HMA) by the Ignition Method (Method A) (Asphalt Binder Content)
Verified Date: 05/02/2019
Date Tested: 05/01/2019
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: 9098293029
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
What temperature unit is used?
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Fahrenheit
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Test procedure used?
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Method A
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Mass of HMA Sample prior to ignition
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no data
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Corrected Asphalt Binder Content
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5.54 %
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Mass Loss
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no data
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Correction Factor (Percent by mass of HMA Specimen)
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no data
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Moisture Content
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no data
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Temperature Compensation Factor
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no data
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Test Temperature
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no data
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