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Sample Record for 2022-01-25-20

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

Project Information

Project ID: 213811 DEA: 112T2184 EFIS: 1116000174 QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-5-R38.4/R47.3
Work Description: (Alternative Delivery) Construct HOV lanes, soundwalls, culvert rehab, ITS, and bike trail on I-5 . NCC I-5 Highway Improvement.
Location Description: IN SAN DIEGO COUNTY IN ENCINITAS AND CARLSBAD FROM SAN ELIJO LAGOON BRIDGE TO 0.3 MILE NORTH OF PALOMAR AIRPORT ROAD OVERCROSSING.
Contractor Name: Flatiron-Skanska-Stacy and Witbeck, a Joint Venture
Contractor Address: 1525 Faraday Ave. #180, Carlsbad, CA 92008
Resident Engineer: Yong Pak Structure Rep.: Cailyn Le

Sample Information

DIME Sample ID: 2022-01-25-20
TL Number from the TL Form:
Sample Submitted By Organization: CT D11 - District 11 Materials Laboratory
Sample Organization Contact: (858) 688-1570
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 01/25/2022
Date that the sample was received by the laboratory/organization performing the testing: 01/26/2022
The quantity of what the sample constitutes: 4 boxes, 1 bag, 4 cans
A brief description of the sample: 1/2" RWMA-G
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Otay

Material Information

HMA Type: OGFC
HMA Grading: 1/2 inch
Lot number:
Sublot number:
HMA Mix Number:
Test results on following page(s): 4

Test Results

Test 1 of 4

DIME Test ID: 2022-01-25-20-1
Test Method: AASHTO T308-10: Standard Method of Test for Determining the Asphalt Binder Content of Hot Mix Asphalt (HMA) by the Ignition Method (Method A) (Asphalt Binder Content)
Verified Date: 02/02/2022
Date Tested: 02/01/2022
Submitted By Organization: CT D11 - District 11 Materials Laboratory
Organization Address: 7177 Opportunity Road,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92111
Organization Email: dave.m.cortez@dot.ca.gov
Organization Phone: (858) 688-1570
General Comments for this Test: Pass
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 1540.8 g
Corrected Asphalt Binder Content 7.85 %
Mass Loss no data
Mass of aggregate remaining after ignition 1410.0 g
Correction Factor (Percent by mass of HMA Specimen) 0.64 %
Moisture Content 0.00 %
Temperature Compensation Factor no data
Test Temperature 538 F

Test 2 of 4

DIME Test ID: 2022-01-25-20-2
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: 02/02/2022
Date Tested: 01/31/2022
Submitted By Organization: CT D11 - District 11 Materials Laboratory
Organization Address: 7177 Opportunity Road,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92111
Organization Email: dave.m.cortez@dot.ca.gov
Organization Phone: (858) 688-1570
General Comments for this Test: Pass
Test Result Compliance: complies
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 7361.6 grams
Mass of oven-dry sample in air for Sample 1 1549.2 grams
Mass of container filled with the sample and water for Sample 1 8271.4 grams
Temperature of Water 77 °F
Specific Gravity for Sample 1 2.423
Theoretical maximum density at 25°C (77°F) no data

Test 3 of 4

DIME Test ID: 2022-01-25-20-3
Test Method: AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)
Verified Date: 02/02/2022
Date Tested: 01/31/2022
Submitted By Organization: CT D11 - District 11 Materials Laboratory
Organization Address: 7177 Opportunity Road,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92111
Organization Email: dave.m.cortez@dot.ca.gov
Organization Phone: (858) 688-1570
General Comments for this Test: Pass
Test Result Compliance: complies
Additional Comments When Verified:
Percent Air Voids 6.2 %
Percent Air Voids 2 5.7 %
Percent Air Voids 3 4.6 %
Percent Air Voids Average 5.5 %

Test 4 of 4

DIME Test ID: 2022-01-25-20-4
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: 02/02/2022
Date Tested: 01/31/2022
Submitted By Organization: CT D11 - District 11 Materials Laboratory
Organization Address: 7177 Opportunity Road,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92111
Organization Email: dave.m.cortez@dot.ca.gov
Organization Phone: (858) 688-1570
General Comments for this Test: Pass
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.272
Bulk Specific Gravity 2 2.286
Bulk Specific Gravity 3 2.312
Average Bulk Specific Gravity 2.29