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Sample Record for 2022-04-27-9

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Project Information

Project ID: 993271 DEA: 11430604 EFIS: 1119000026 QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-8,805-5.6/17.4
Work Description: INSTALL HIGH FRICTION SURFACE TREATMENT
Location Description: FOR CONSTRUCTION ON STATE HIGHWAY IN SAN DIEGO COUNTY IN SAN DIEGO ON ROUTE 8 AT ROUTE 15/8 SEPARATION AND ON ROUTE 805 AT NORTHBOUND 805 TO EASTBOUND 8 CONNECTOR
Contractor Name: HAZARD CONSTRUCTION COMPANY
Contractor Address: 10529 Vine Street, Lakeside, CA, 92040
Resident Engineer: Genaro Genel-Trujillo Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2022-04-27-9
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: 04/27/2022
Date that the sample was received by the laboratory/organization performing the testing: 04/28/2022
The quantity of what the sample constitutes: 12 boxes, 2 bags, 3 cans
A brief description of the sample: 3/4" RHMA-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: RHMA-G
HMA Grading: 3/4 inch
Lot number:
Sublot number:
HMA Mix Number:

Test Results

Test 1 of 5

DIME Test ID: 2022-04-27-9-1
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)
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
Data has not been verified.

Test 2 of 5

DIME Test ID: 2022-04-27-9-2
Test Method: AASHTO T209-12: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)
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
Data has not been verified.

Test 3 of 5

DIME Test ID: 2022-04-27-9-3
Test Method: AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)
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
Data has not been verified.

Test 4 of 5

DIME Test ID: 2022-04-27-9-4
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)
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
Data has not been verified.

Test 5 of 5

DIME Test ID: 2022-04-27-9-5
Test Method: AASHTO T283-14: Standard Method of Test for Resistance of Compacted Asphalt Mixtures to Moisture-Induced Damage (Moisture Content)
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
Data has not been verified.