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Sample Record for 2021-04-01-19

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
Work Description:
Location Description:
Contractor Address: 135 S STATE COLLEGE BLVD #400, BREA CA 92821
Resident Engineer: Taghreed Al-Khateeb Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-04-01-19
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Barstow Field Laboratory 1
Sample Organization Contact: (760) 252-9216
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 04/01/2021
Date that the sample was received by the laboratory/organization performing the testing: 04/12/2021
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: 91A 91B 91C
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:
HMA Mix Number:

Test Results

Test 1 of 1

DIME Test ID: 2021-04-01-19-1
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: 04/28/2021
Date Tested: 04/12/2021
Submitted By Organization: CT D08 - Barstow Field Laboratory 1
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email:
Organization Phone: (951) 840-8328
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.281
Bulk Specific Gravity 2 2.243
Bulk Specific Gravity 3 2.270
Average Bulk Specific Gravity 2.265