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Sample Record for 2020-07-13-44

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

Project Information

Project ID: 213707 DEA: 081C38U4 EFIS: 0817000196 QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-10-6.7/R25.1
Work Description: Remove concrete pavement and base, and place HMA and JPCP
Location Description: ROUTE 10/60 SEPARATION IN BEAUMONT TO ROUTE 10/111 SEPARATION NEAR CABAZON.
Contractor Name: Coffman Specialties
Contractor Address: 9685 Via Excelencia, San Diego, CA 92126
Resident Engineer: Elvira Lenart Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-07-13-44
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Sample Organization Contact: (951) 840-8328
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 07/13/2020
Date that the sample was received by the laboratory/organization performing the testing: 07/29/2020
The quantity of what the sample constitutes: 2 box, 6 cores
A brief description of the sample: HMA-A 3/4" PG 58-34M
From where was the sample collected: Manufacturer
Laboratory sample identification: 1A78, 1B78, 1C78, 1A79, 1B79, 1C79
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CCA-Coachella

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number: Unknown
Sublot number: Unknown

Test Results

Test 1 of 3

DIME Test ID: 2020-07-13-44-1
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: 08/06/2020
Date Tested: 07/30/2020
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria St,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: kaushalkumar.talati@dot.ca.gov
Organization Phone: (951) 840-8328
General Comments for this Test:
Additional Comments When Verified:
Bulk Specific Gravity 2.359
Bulk Specific Gravity 2 2.385
Bulk Specific Gravity 3 2.378
Average Bulk Specific Gravity 2.374

Test 2 of 3

DIME Test ID: 2020-07-13-44-2
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: 08/06/2020
Date Tested: 07/30/2020
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria St,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: kaushalkumar.talati@dot.ca.gov
Organization Phone: (951) 840-8328
General Comments for this Test:
Additional Comments When Verified:
Bulk Specific Gravity 2.337
Bulk Specific Gravity 2 2.348
Bulk Specific Gravity 3 2.351
Average Bulk Specific Gravity 2.345

Test 3 of 3

DIME Test ID: 2020-07-13-44-3
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: 08/06/2020
Date Tested: 07/22/2020
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria St,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: kaushalkumar.talati@dot.ca.gov
Organization Phone: (951) 840-8328
General Comments for this Test:
Additional Comments When Verified:
Number of tests 1
Mass Determination Water
Specific Gravity for Sample 1 2.479

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.