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Sample Record for 2021-09-01-40

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

Project Information

Project ID: 215494 DEA: 081H4904 EFIS: 0817000059 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-18-31.9/38.5
Work Description: COLD PLANE AC PAVEMENT AND OVERLAY WITH HMA (TYPE A).
Location Description: SAN BERNARDINO COUNTY FROM 0.1 MILE EAST OF HILLTOP CONNECTOR TO 0.5 MILE EAST OF SIBERIA CREEK TRAIL
Contractor Name: Matich Corp
Contractor Address: P.O. Box 10, Highland, CA 92346-1010
Resident Engineer: Nhan Nguyen Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-09-01-40
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: 09/01/2021
Date that the sample was received by the laboratory/organization performing the testing: 09/02/2021
The quantity of what the sample constitutes: 2 boxes
A brief description of the sample: 3/4" HMA-A R12 PG 64-28M (0.75% LAS)
From where was the sample collected: Manufacturer
Laboratory sample identification: 0516A-21
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Matich-Lytle Creek

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: 2021-09-01-40-1
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: 09/09/2021
Date Tested: 09/03/2021
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 4.64 %
Correction Factor (Percent by mass of HMA Specimen) no data

Tests Assigned to this Sample

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