Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214157 DEA: 081H3404 EFIS: 0817000016
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-210,215-21.1/R26.3,4.1/14.3
Work Description: PRECAST SLAB AND CURB RAMP REPLACEMENT AND PLACE RHMA-G.
Location Description: SAN BERNARDINO COUNTY ON ROUTE 210 FROM 0.6 MILE EAST OF STATE STREET TO STERLING AVENUE AND ON ROUTE 215 FROM PALM STREET TO ROUTE 10/215 SEPARATION
Contractor Name: RV CONCRETE, INC.
Contractor Address: 605 E COMMERCIAL ST, ANAHEIM CA 92801
Resident Engineer: Samer Georges Structure Rep.: Unknown
DIME Sample ID: 2019-11-26-15
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Sample Organization Contact: 9512323690
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 11/26/2019
Date that the sample was received by the laboratory/organization performing the testing: 12/05/2019
The quantity of what the sample constitutes: 2 box, 2 Core
A brief description of the sample: 3/4" RHMA-SP PG64-16RB
From where was the sample collected: Manufacturer
Laboratory sample identification: 4A, 4B
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: AAA-Corona
DIME Test ID: 2019-11-26-15-1
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: 12/19/2019
Date Tested: 12/03/2019
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
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Bulk Specific Gravity
|
2.294
|
|
Bulk Specific Gravity 2
|
2.303
|
|
Average Bulk Specific Gravity
|
2.299
|
DIME Test ID: 2019-11-26-15-2
Test Method: AASHTO T209-12: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)
Verified Date: 12/19/2019
Date Tested: 12/09/2019
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
|
Number of tests
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1
|
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What is the unit of measurement for theoretical density?
|
US Units
|
|
Mass Determination
|
Water
|
|
Specific Gravity for Sample 1
|
2.418
|
|
Theoretical maximum density at 25°C (77°F)
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no data
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