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Sample Record for 2020-09-24-25

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

Project Information

Project ID: 214885 DEA: 080K1234 EFIS: 0815000242 QA Service Level: 1
DIST-CO-RTE-PM: 08---
Work Description:
Location Description:
Contractor Name: SULLY-MILLER CONTRACTING COMPANY
Contractor Address: 135 S STATE COLLEGE BLVD #400, BREA CA 92821
Resident Engineer: Taghreed Al-Khateeb Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-09-24-25
TL Number from the TL Form: Blue Diamond
Sample Submitted By Organization: CT D08 - Hesperia Field Testing Laboratory
Sample Organization Contact: (951) 840-8242
Type of Sample: Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 09/24/2020
Date that the sample was received by the laboratory/organization performing the testing: 09/25/2020
The quantity of what the sample constitutes: 2 box, 3 cores
A brief description of the sample: I-15 SB, Ln 5,9,7, EP, sta 1705+64, sta 1696+14, sta 2288+41
From where was the sample collected: Job Site
Laboratory sample identification: 13-A, 13-B, 13-C
Structure unique identifier:
Structure name: I 15 N Sidewinder Rd
The fabricator/manufacturer/facility name: OHL, Sully Miller

Material Information

HMA Type: RHMA-G
HMA Grading: 3/4 inch
Lot number:
Sublot number:
HMA Mix Number:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2020-09-24-25-3
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: 01/12/2021
Date Tested: 10/21/2020
Submitted By Organization: CT D08 - Hesperia Field Testing Laboratory
Organization Address: 13970 Victoria Street,
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:
Test Result Compliance: complies
Additional Comments When Verified:
Number of tests 1
What is the unit of measurement for theoretical density? US Units
Mass Determination Air
Method Performed Mechanical Agitation - Method A
Mass of container filled with water 7328.0 grams
Mass of oven-dry sample in air for Sample 1 2512.0 grams
Mass of container filled with the sample and water for Sample 1 8792.0 grams
Temperature of Water 77 °F
Specific Gravity for Sample 1 2.396
Theoretical maximum density at 25°C (77°F) no data

Test 2 of 2

DIME Test ID: 2020-09-24-25-5
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: 01/12/2021
Date Tested: 10/21/2020
Submitted By Organization: CT D08 - Hesperia Field Testing Laboratory
Organization Address: 13970 Victoria Street,
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:
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.280
Bulk Specific Gravity 2 2.265
Bulk Specific Gravity 3 2.249
Average Bulk Specific Gravity 2.265