Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214424 DEA: 051F6304 EFIS: 0514000040
QA Service Level: 1
DIST-CO-RTE-PM: 05-SLO-41-14.2/15.9
Work Description: ROUTE 41 ATASCADERO ADA PROJECT; CONSTRUCT ADA PATHWAYS AND RAMPS, DRAINAGE SYSTEMS AND SIGNALS.
Location Description: SAN LUIS OBISPO COUNTY IN ATASCADERO FROM SAN GABRIEL ROAD TO ROUTE 101/41 SEPARATION
Contractor Name: SOUZA CONSTRUCTION
Contractor Address: 4027 Santa Fe Road, San Luis Obispo, CA 93403
Resident Engineer: Hassan Iman Structure Rep.: Unknown
DIME Sample ID: 2020-10-08-17
TL Number from the TL Form:
Sample Submitted By Organization: CT D05 - San Luis Obispo District Laboratory
Sample Organization Contact: (559) 230-3109
Type of Sample: Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 10/08/2020
Date that the sample was received by the laboratory/organization performing the testing: 10/08/2020
The quantity of what the sample constitutes: 1 boxs
A brief description of the sample: 3/4" HMA-A w/RAP
From where was the sample collected: Manufacturer
Laboratory sample identification: 20-A-269
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CalPortland Paso Robles
DIME Test ID: 2020-10-08-17-1
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: 10/08/2020
Date Tested: 10/08/2020
Submitted By Organization: CT D05 - San Luis Obispo District Laboratory
Organization Address: 50 Higuera Street,
Organization City: San Luis Obispo
Organization State: CA
Organization Zipcode: 93401
Organization Email: glenn.johnson@dot.ca.gov
Organization Phone: (805) 549-3158
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
What temperature unit is used?
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Fahrenheit
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Test procedure used?
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Method A
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Mass of HMA Sample prior to ignition
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no data
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Corrected Asphalt Binder Content
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5.09 %
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Mass Loss
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no data
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Correction Factor (Percent by mass of HMA Specimen)
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no data
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Moisture Content
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no data
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Temperature Compensation Factor
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no data
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Test Temperature
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no data
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