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Sample Record for 2019-04-15-14

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

Project Information

Project ID: 213050 DEA: 051J5204 EFIS: 0517000195 QA Service Level: 1
DIST-CO-RTE-PM: 05-SLO-58-6.9/30.0
Work Description: COLD PLANE EXISTING ROADWAY AND RESURFACE WITH RHMA-G.
Location Description: SAN LUIS OBISPO COUNTY ABOUT 6 MILES EAST OF SANTA MARGARITA FROM ROUTE 229 TO NAVAJO CREEK BRIDGE
Contractor Name: PAPICH CONSTRUCTION COMPANY, INC.
Contractor Address: P.O. Box 2210, Pismo Beach, CA 93448
Resident Engineer: Lilian Bennetzen Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2019-04-15-14
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Dispute Resolution
Type of Material: Hot Mix Asphalt
Sample Taken Date: 04/15/2019
Date that the sample was received by the laboratory/organization performing the testing: 04/15/2019
The quantity of what the sample constitutes: 1
A brief description of the sample: 3/4 inch RHMA-G
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Papich Construction

Material Information

HMA Type: RHMA-G
HMA Grading: 3/4 inch
Lot number: 2
Sublot number: 3
HMA Mix Number:
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2019-04-15-14-1
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)
Verified Date: 12/17/2019
Date Tested: 04/16/2019
Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Boulevard, Room 225,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (916) 227-7302
General Comments for this Test: Caltrans Internal Lab no. 019-004 Lab No. 18-A-465 Lot2 Sublot3
Test Result Compliance:
Additional Comments When Verified:
Bulk Specific Gravity 2.306
Bulk Specific Gravity 2 2.304
Bulk Specific Gravity 3 2.316
Average Bulk Specific Gravity 2.309