Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993847 DEA: 081M8604 EFIS: 0822000056
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-15-180.2/186.2
Work Description: COLD PLANE AC PAVEMENT AND PLACE RUBBERIZED HMA (GAP GRADED).
Location Description: SAN BERNARDINO COUNTY ABOUT 43 MILES NORTH OF BAKER FROM 0.5 MILE SOUTH OF YATES WELL ROAD OVERCROSSING TO NEVADA STATE LINE
Contractor Name: LAS VEGAS PAVING CORPORATIO
Contractor Address: 4420 SOUTH DECATUR BLV, LAS VEGAS NEVADA 8910
Resident Engineer: KHOA NGUYEN Structure Rep.: Unknown
DIME Sample ID: 2022-09-12-21
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: 09/12/2022
Date that the sample was received by the laboratory/organization performing the testing: 09/14/2022
The quantity of what the sample constitutes: 2 boxes 247 tons out
A brief description of the sample: 3/4" HMA-A-SP R15 1.5%LSM
From where was the sample collected: Manufacturer
Laboratory sample identification: 0637A-22
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Las Vegs Paving Company-Las Vegas
DIME Test ID: 2022-09-12-21-1
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: 09/20/2022
Date Tested: 09/15/2022
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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4.16 %
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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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