Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 215188 DEA: 080F5434 EFIS: 0817000239 Permit Numbers: 0823NMC0369
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-I-15,SR-91-6.1-7.6
Work Description: I-15 ELC: 15/91 Express Lanes Connector Project (ELC)
Location Description: Junction of I-15 and SR-91 in Corona, CA
Contractor Name: Myers-Rados Joint Venture
Contractor Address: 629 N. Main Street, Suite C3, Corona, CA 92878
Resident Engineer: Roy Fisher Structure Rep.: Alhakem Alina
DIME Sample ID: 2022-03-23-10
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: Department Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 03/23/2022
Date that the sample was received by the laboratory/organization performing the testing: 03/25/2022
The quantity of what the sample constitutes: 4 Boxes 778 tons out
A brief description of the sample: 3/4" HMA-A-SP R15 0.50% LAS
From where was the sample collected: Manufacturer
Laboratory sample identification: 0189A-22
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: RJ Noble-Corona
DIME Test ID: 2022-03-23-10-1
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: 03/29/2022
Date Tested: 03/26/2022
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: (909) 829-3029
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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4.80 %
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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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