Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 213707 DEA: 081C38U4 EFIS: 0817000196
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-10-6.7/R25.1
Work Description: Remove concrete pavement and base, and place HMA and JPCP
Location Description: ROUTE 10/60 SEPARATION IN BEAUMONT TO ROUTE 10/111 SEPARATION NEAR CABAZON.
Contractor Name: Coffman Specialties
Contractor Address: 9685 Via Excelencia, San Diego, CA 92126
Resident Engineer: Elvira Lenart Structure Rep.: Unknown
DIME Sample ID: 2021-10-22-27
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Sample Organization Contact: 9512323690
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 10/22/2021
Date that the sample was received by the laboratory/organization performing the testing: 11/15/2021
The quantity of what the sample constitutes: 2 box, 2 cores
A brief description of the sample: HMA-A 3/4" PG 64-28M
From where was the sample collected: Manufacturer
Laboratory sample identification: 1A234, 1B234
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CCA-Coachella
DIME Test ID: 2021-10-22-27-1
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: 11/29/2021
Date Tested: 11/18/2021
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Bulk Specific Gravity
|
2.320
|
Bulk Specific Gravity 2
|
2.380
|
Average Bulk Specific Gravity
|
2.35
|
DIME Test ID: 2021-10-22-27-2
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: 11/29/2021
Date Tested: 10/25/2021
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Number of tests
|
1
|
What is the unit of measurement for theoretical density?
|
US Units
|
Mass Determination
|
Water
|
Specific Gravity for Sample 1
|
2.483
|
Theoretical maximum density at 25°C (77°F)
|
no data
|