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Sample Record for 2019-11-01-13

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

Project Information

Project ID: 213745 DEA: 080Q1204 EFIS: 0800020125 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-18-99.5-100.9
Work Description: WIDEN ROADBED AND CONSTRUCT RAISED CURB MEDIAN
Location Description: SAN BERNARDINO COUNTY FROM COBALT ROAD TO ROUTE 395
Contractor Name: Ortiz Enterprise, Inc
Contractor Address: 6 Cushing Suite 200, Irvine, CA 92618
Resident Engineer: Peter Koury Structure Rep.: Leonard Romero

Sample Information

DIME Sample ID: 2019-11-01-13
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: Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 11/01/2019
Date that the sample was received by the laboratory/organization performing the testing: 11/01/2019
The quantity of what the sample constitutes: 2 boxes
A brief description of the sample: 3/8" HMA-A R15 PG 64-28M (0.6% LAS)
From where was the sample collected: Source
Laboratory sample identification: 0674A-19
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Blue Diamond Victorville

Material Information

HMA Type: Type A HMA
HMA Grading: 3/8 inch
Lot number: Unknown
Sublot number: Unknown
HMA Mix Number:

Test Results

Test 1 of 1

DIME Test ID: 2019-11-01-13-1
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: 11/08/2019
Date Tested: 11/01/2019
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: does not comply
Additional Comments When Verified:
What temperature unit is used? Fahrenheit
Test procedure used? Method A
Mass of HMA Sample prior to ignition no data
Corrected Asphalt Binder Content 6.34 %
Mass Loss no data
Correction Factor (Percent by mass of HMA Specimen) no data
Moisture Content no data
Temperature Compensation Factor no data
Test Temperature no data