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Sample Record for 2022-07-11-97

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

Project Information

Project ID: 993535 DEA: 081M1104 EFIS: 0821000078 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-215-10.0/17.2
Work Description: HMA, COLD PLANE AC PAVEMENT, AND TRAFFIC STRIPE TAPE.
Location Description: SAN BERNARDINO COUNTY?FROM 0.1 MILE NORTH OF 27TH STREET TO 0.1 MILE SOUTH OF DEVORE ROAD
Contractor Name: CALMEX ENGINEERING INC.
Contractor Address: 2764 S VISTA AVE, BLOOMINGTON, CA 92316
Resident Engineer: VuThanh Nguyen Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2022-07-11-97
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Sample Organization Contact: 9512323690
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 07/11/2022
Date that the sample was received by the laboratory/organization performing the testing: 08/19/2022
The quantity of what the sample constitutes: 2 boxes, 8 Cores
A brief description of the sample: HMA-A 3/4" PG 58-34M #223506
From where was the sample collected: Manufacturer
Laboratory sample identification: 31A,31B,31C,32A,32B,32C,33A,33B
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: VMC- San Bernardino Portable HMA

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number:
Sublot number:
HMA Mix Number:
Test results on following page(s): 4

Test Results

Test 1 of 4

DIME Test ID: 2022-07-11-97-1
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: 10/06/2022
Date Tested: 09/07/2022
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Number of tests 1
What is the unit of measurement for theoretical density? US Units
Mass Determination Air
Specific Gravity for Sample 1 2.484
Theoretical maximum density at 25°C (77°F) 154.6 lb/ft^3

Test 2 of 4

DIME Test ID: 2022-07-11-97-2
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: 10/06/2022
Date Tested: 09/07/2022
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test: Cores 31A, 31B, 31C
Test Result Compliance:
Additional Comments When Verified:
Bulk Specific Gravity 2.356
Bulk Specific Gravity 2 2.360
Bulk Specific Gravity 3 2.358
Average Bulk Specific Gravity 2.358

Test 3 of 4

DIME Test ID: 2022-07-11-97-3
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: 10/06/2022
Date Tested: 08/22/2022
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test: Cores 32A, 32B, 32C
Test Result Compliance:
Additional Comments When Verified:
Bulk Specific Gravity 2.359
Bulk Specific Gravity 2 2.331
Bulk Specific Gravity 3 2.347
Average Bulk Specific Gravity 2.346

Test 4 of 4

DIME Test ID: 2022-07-11-97-4
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)
Verified Date: 10/06/2022
Date Tested: 08/22/2022
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test: Cores 33A, 33B
Test Result Compliance:
Additional Comments When Verified:
Bulk Specific Gravity 2.350
Bulk Specific Gravity 2 2.362
Average Bulk Specific Gravity 2.356