Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993150 DEA: 051G9704 EFIS: 0516000008
QA Service Level: 1
DIST-CO-RTE-PM: 05-SB-135-11.7/17.8
Work Description: COLD PLANE, OVERLAY ROADWAY WITH RHMA (GAP GRADED) AND ADA CURB RAMPS.
Location Description: SANTA BARBARA COUNTY IN AND NEAR SANTA MARIA FROM LAKEVIEW ROAD TO NORTH SANTA MARIA CONNECTOR
Contractor Name: CAL PORTLAND CONSTRUCTION
Contractor Address: 1625 E. Donovan, Santa Maria, Ca 93454
Resident Engineer: Thomas Petersen Structure Rep.: Unknown
DIME Sample ID: 2022-04-19-51
TL Number from the TL Form:
Sample Submitted By Organization: CT D05 - Santa Maria Field Laboratory
Sample Organization Contact:
Type of Sample: Verification
Type of Material: Hot Mix Asphalt
Sample Taken Date: 04/19/2022
Date that the sample was received by the laboratory/organization performing the testing: 04/20/2022
The quantity of what the sample constitutes: L1SL1
A brief description of the sample: 1/2" RHMA-G
From where was the sample collected: Job Site
Laboratory sample identification: L1SL1
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Calportland-Garey
DIME Test ID: 2022-04-19-51-1
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: 05/20/2022
Date Tested: 04/20/2022
Submitted By Organization: CT D05 - Santa Maria Field Laboratory
Organization Address: 2053 Preisker Lane, Suite E,
Organization City: Santa Maria
Organization State: CA
Organization Zipcode: 93427
Organization Email: salvador.lopez-zamora@dot.ca.gov
Organization Phone: (805) 748-3854
General Comments for this Test: Complies
Test Result Compliance: complies
Additional Comments When Verified:
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Bulk Specific Gravity
|
2.158
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