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Sample Record for 2021-05-05-28

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

Project Information

Project ID: 214921 DEA: 09367404 EFIS: 0916000025 QA Service Level: 1
DIST-CO-RTE-PM: 09-KER-14-R4.7/R12.6
Work Description: CONSTRUCT CRCP OVER EXISTING PAVEMENT AND PLACE HMA.
Location Description: KERN COUNTY AT AND NEAR ROSAMOND AND MOJAVE FROM 1.4 MILES SOUTH OF DAWN ROAD OVERCROSSING TO 0.5 MILE NORTH OF SILVER QUEEN ROAD OVERCROSSING
Contractor Name: Jesus Pena
Contractor Address: 18201 Von Karman, Suite #800, IRVINE CA 92612
Resident Engineer: Hin Hartanto Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-05-05-28
TL Number from the TL Form:
Sample Submitted By Organization: CT - Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 05/05/2021
Date that the sample was received by the laboratory/organization performing the testing: 05/07/2021
The quantity of what the sample constitutes: 2 HMA boxes
A brief description of the sample: 3/4" HMA-A-SP R25 0.8% Dry Lime
From where was the sample collected: Manufacturer
Laboratory sample identification: 0268A-21
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Big Rock , Granite Construction

Material Information

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

Test Results

Test 1 of 2

DIME Test ID: 2021-05-05-28-1
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: 06/04/2021
Date Tested: 05/08/2021
Submitted By Organization: CT - Southern Regional Laboratory
Organization Address: 13970 Victoria St,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: 213-792-4794
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Asphalt Binder Content 4.80 %
Correction Factor (Percent by mass of HMA Specimen) no data

Test 2 of 2

DIME Test ID: 2021-05-05-28-2
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: 06/04/2021
Date Tested: 05/08/2021
Submitted By Organization: CT - Southern Regional Laboratory
Organization Address: 13970 Victoria St,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: 213-792-4794
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Number of tests 1
Mass Determination Air
Specific Gravity for Sample 1 2.499

Tests Assigned to this Sample

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