Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 213598 DEA: 051F75U4 EFIS: 0518000092
QA Service Level: 1
DIST-CO-RTE-PM: 05-MON-101-R36.9/47.7
Work Description: CRCP, SEISMIC RETROFIT, BRIDGE WIDENING AND MEDIAN BARRIER
Location Description: MONTEREY COUNTY IN AND NEAR KING CITY FROM 0.4 MILE SOUTH OF WILD HORSE ROAD OVERCROSSING TO TEAGUE AVENUE
Contractor Name: OHL USA, INC.
Contractor Address: 1920 Main St. Suite 310, Irvine, CA 92614
Resident Engineer: Adam Rianda Structure Rep.: Juan Moreno
DIME Sample ID: 2020-10-13-3
TL Number from the TL Form:
Sample Submitted By Organization: CT D05 - Field Laboratory
Sample Organization Contact: (559) 230-3109
Type of Sample: Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 10/13/2020
Date that the sample was received by the laboratory/organization performing the testing: 10/14/2020
The quantity of what the sample constitutes: 1 box
A brief description of the sample: 3/4" HMA-A w/ RAP & LAS
From where was the sample collected: Manufacturer
Laboratory sample identification: 20-A-276
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite Coalinga
DIME Test ID: 2020-10-13-3-1
Test Method: AASHTO T308-10: Standard Method of Test for Determining the Asphalt Binder Content of Hot Mix Asphalt (HMA) by the Ignition Method (Asphalt Binder Content)
Verified Date: 10/15/2020
Date Tested: 10/15/2020
Submitted By Organization: CT D05 - Field Laboratory
Organization Address: 50 Higuera St,
Organization City: San Luis Obispo
Organization State: CA
Organization Zipcode: 93401
Organization Email: doug.lambert@dot.ca.gov
Organization Phone: (559) 230-3109
General Comments for this Test:
Test Result Compliance: does not comply
Additional Comments When Verified:
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Asphalt Binder Content
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4.63 %
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Correction Factor (Percent by mass of HMA Specimen)
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no data
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