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Sample Record for 2021-12-28-5

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

Project Information

Project ID: 214620 DEA: 07309304 EFIS: 0714000281 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-210,405,605-Various
Work Description: REINFORCE STRUCTURAL CONCRETE BRIDGE AND PLACE RHMA SHOULDER PAVING.
Location Description: LOS ANGELES COUNTY AT VARIOUS LOCATIONS
Contractor Name: Beador Const. Co. Inc.
Contractor Address: 26320 LESTER CIRCLE, CORONA CA 92883
Resident Engineer: MOHAMMAD IZADPANAH Structure Rep.: Richard Joludow

Sample Information

DIME Sample ID: 2021-12-28-5
TL Number from the TL Form: 1221H1
Sample Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Sample Organization Contact: (213) 817-0387
Type of Sample: Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 12/28/2021
Date that the sample was received by the laboratory/organization performing the testing: 01/03/2022
The quantity of what the sample constitutes: 750 Tons
A brief description of the sample: 3/4" HMA-A 105793
From where was the sample collected: Manufacturer
Laboratory sample identification: 21-0470
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: AAA Corona

Material Information

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

Test Results

Test 1 of 2

DIME Test ID: 2021-12-28-5-1
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: 01/04/2022
Date Tested: 01/04/2022
Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Organization Address: 1940 South Workman Mill Road,
Organization City: Whittier
Organization State: CA
Organization Zipcode: 90601
Organization Email: chad.chotibhongs@dot.ca.gov
Organization Phone: (213) 817-0387
General Comments for this Test:
Test Result Compliance: not applicable
Additional Comments When Verified:
Number of tests 1
What is the unit of measurement for theoretical density? US Units
Mass Determination Air
Method Performed Mechanical Agitation - Method A
Mass of container filled with water 7359.3 grams
Mass of oven-dry sample in air for Sample 1 2550.2 grams
Mass of container filled with the sample and water for Sample 1 8904.8 grams
Temperature of Water 77 °F
Specific Gravity for Sample 1 2.538
Theoretical maximum density at 25°C (77°F) no data

Test 2 of 2

DIME Test ID: 2021-12-28-5-2
Test Method: AASHTO T308-10: Standard Method of Test for Determining the Asphalt Binder Content of Hot Mix Asphalt (HMA) by the Ignition Method (Method A) (Asphalt Binder Content)
Verified Date: 01/04/2022
Date Tested: 01/04/2022
Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Organization Address: 1940 South Workman Mill Road,
Organization City: Whittier
Organization State: CA
Organization Zipcode: 90601
Organization Email: chad.chotibhongs@dot.ca.gov
Organization Phone: (213) 817-0387
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
What temperature unit is used? Fahrenheit
Test procedure used? Method A
Mass of the specimen basket assembly no data
Mass of the specimen and specimen basket assembly prior to ignition no data
Mass of HMA Sample prior to ignition 2024.2 g
Corrected Asphalt Binder Content 4.61 %
Mass Loss no data
Mass of aggregate remaining after ignition 1923.9 g
Correction Factor (Percent by mass of HMA Specimen) 0.35 %
Moisture Content 0.00 %
Temperature Compensation Factor no data
Test Temperature 538 F