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Sample Record for 2021-04-18-5

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: 2021-04-18-5
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Barstow Field Testing Laboratory
Sample Organization Contact: (760) 252-9216
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 04/18/2021
Date that the sample was received by the laboratory/organization performing the testing: 04/19/2021
The quantity of what the sample constitutes: 3
A brief description of the sample: 3/4" core
From where was the sample collected: Job Site
Laboratory sample identification: 117A 117B 117C
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Sully Miller

Material Information

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

Test Results

Test 1 of 1

DIME Test ID: 2021-04-18-5-1
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: 04/23/2021
Date Tested: 04/22/2021
Submitted By Organization: CT D08 - Barstow Field Testing Laboratory
Organization Address: 1800 Dill Road,
Organization City: Barstow
Organization State: CA
Organization Zipcode: 92311
Organization Email: michael.yuen@dot.ca.gov
Organization Phone: (760) 252-9216
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.260
Bulk Specific Gravity 2 2.233
Bulk Specific Gravity 3 2.237
Average Bulk Specific Gravity 2.243

Tests Assigned to this Sample

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