Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 212911 DEA: 081F9404 EFIS: 0815000067
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-79-R4.7/R10.6
Work Description: COLD PLANE, OVERLAY WITH RUBBERIZED HOT MIX ASPHALT (TYPE G)
Location Description: RIVERSIDE COUNTY FROM 0.1 MILE SOUTH OF MURRIETA HOT SPRINGS ROAD TO 0.1MILE NORTH OF ABELIA ROAD
Contractor Name: R J NOBLE COMPANY
Contractor Address: 15505 E Lincoln Ave, Orange, CA 92865
Resident Engineer: Mike Bergevin Structure Rep.: Unknown
DIME Sample ID: 2019-06-13-13
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: Department Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 06/13/2019
Date that the sample was received by the laboratory/organization performing the testing: 06/14/2019
The quantity of what the sample constitutes: 4 boxes
A brief description of the sample: 3/4" RHMA-G PG64-16RB 0.5% LAS
From where was the sample collected: Source
Laboratory sample identification: 0349G-19
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: AAA-Corona
DIME Test ID: 2019-06-13-13-1
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: 07/11/2019
Date Tested: 06/18/2019
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: (909) 829-3029
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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7.7 %
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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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