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Sample Record for 2020-05-15-25

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

Project Information

Project ID: 214140 DEA: 081J1104 EFIS: 0817000211 QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-10,79,86-Var
Work Description: REMOVE, PREPARE AND FURNISH POLYESTER CONCRETE OVERLAY.
Location Description: RIVERSIDE COUNTY AT VARIOUS LOCATIONS
Contractor Name: VELARDE CONCRETE CONSTRUCTION INC
Contractor Address: 523 S BRAND BLVD #201, SAN FERNANDO CA 91340
Resident Engineer: Khoi Vu Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-05-15-25
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: 05/15/2020
Date that the sample was received by the laboratory/organization performing the testing: 05/19/2020
The quantity of what the sample constitutes: 2 box, 3 cores
A brief description of the sample: 1/2" HMA-A-SP
From where was the sample collected: Manufacturer
Laboratory sample identification: 1A5, 1B5, 1C5
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CCA-Coachella

Material Information

HMA Type: Type A HMA
HMA Grading: 1/2 inch
Lot number: Unknown
Sublot number: Unknown
HMA Mix Number:

Test Results

Test 1 of 2

DIME Test ID: 2020-05-15-25-1
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: 07/06/2020
Date Tested: 05/21/2020
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:
Bulk Specific Gravity 2.317
Bulk Specific Gravity 2 2.330
Bulk Specific Gravity 3 2.339
Average Bulk Specific Gravity 2.329

Test 2 of 2

DIME Test ID: 2020-05-15-25-2
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: 07/06/2020
Date Tested: 05/22/2020
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 1
What is the unit of measurement for theoretical density? US Units
Mass Determination Water
Specific Gravity for Sample 1 2.489
Theoretical maximum density at 25°C (77°F) no data