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Sample Record for 2022-08-31-21

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

Project Information

Project ID: 993603 DEA: 051N7004 EFIS: 0521000081 QA Service Level: 1
DIST-CO-RTE-PM: 05-SLO-166-16.0/21.0
Work Description: PARTIAL DEPTH RECYCLING AND OVERLAY WITH RHMA (GAP GRADED).
Location Description: SAN LUIS OBISPO COUNTY ABOUT 8 MILES EAST OF SANTA MARIA FROM 0.5 MILE WEST OF HUASNA RIVER BRIDGE TO 1.9 MILES WEST OF CUYAMA RIVER BRIDGE.
Contractor Name: PAPICH CONSTRUCTION COMPANY INC.
Contractor Address: Unknown
Resident Engineer: Thomas Petersen Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2022-08-31-21
TL Number from the TL Form:
Sample Submitted By Organization: CT D05 - Santa Maria Field Laboratory
Sample Organization Contact:
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 08/31/2022
Date that the sample was received by the laboratory/organization performing the testing: 08/31/2022
The quantity of what the sample constitutes: L1SL15
A brief description of the sample: RHMA-G
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: SPM-Templeton

Material Information

HMA Type: RHMA-G
HMA Grading: 3/4 inch
Lot number: 1
Sublot number: 15
HMA Mix Number:

Test Results

Test 1 of 2

DIME Test ID: 2022-08-31-21-1
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: 09/02/2022
Date Tested: 08/31/2022
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:
Test Result Compliance: not applicable
Additional Comments When Verified:
Number of tests 1
What is the unit of measurement for theoretical density? US Units
Mass Determination Water
Specific Gravity for Sample 1 2.383
Theoretical maximum density at 25°C (77°F) 148.8 lb/ft^3

Test 2 of 2

DIME Test ID: 2022-08-31-21-2
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: 09/02/2022
Date Tested: 09/01/2022
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:
Bulk Specific Gravity 2.192
Bulk Specific Gravity 2 2.208
Bulk Specific Gravity 3 2.189
Average Bulk Specific Gravity 2.196