Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 215609 DEA: 074W9404 EFIS: 0720000196
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-101-0.0/1.0
Work Description: COLD PLANE AND OVERLAY WITH RUBBERIZED HOT MIX ASPHALT, SLURRY SEAL.
Location Description: LOS ANGELES COUNTY IN LOS ANGELES FROM ROUTE 10/101 SEPARATION TO SPRING STREET OVERCROSSING
Contractor Name: Sully Miller
Contractor Address: 135 State College Blvd, Brea, Ca 92821
Resident Engineer: Susana Facio Structure Rep.: Unknown
DIME Sample ID: 2022-03-17-14
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 03/17/2022
Date that the sample was received by the laboratory/organization performing the testing: 03/21/2022
The quantity of what the sample constitutes: 4 Boxes 400.31 Tons Out
A brief description of the sample: 1/2" RHMA-G-WMA 0.6%EVO
From where was the sample collected: Manufacturer
Laboratory sample identification: 0173G-22
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Blue Diamond Irwindale
DIME Test ID: 2022-03-17-14-1
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: 03/25/2022
Date Tested: 03/22/2022
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: 9098293029
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
What temperature unit is used?
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Fahrenheit
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Test procedure used?
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no data
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Mass of HMA Sample prior to ignition
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no data
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Corrected Asphalt Binder Content
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7.62 %
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Mass Loss
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no data
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Correction Factor (Percent by mass of HMA Specimen)
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no data
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Moisture Content
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no data
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Temperature Compensation Factor
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no data
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Test Temperature
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no data
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