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Sample Record for 2022-06-22-59

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

Project Information

Project ID: 214820 DEA: 081K4604 EFIS: 0819000045 QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-215-R36.6/R37.2
Work Description: ADD A S/B AND N/B AUX LANE
Location Description: RIVERSIDE COUNTY NEAR MORENO VALLEY FROM 0.2 MILE NORTH OF ALESSANDRO BOULEVARD OVERCROSSING TO 0.2 MILE SOUTH OF EUCALYPTUS AVENUE OVERCROSSING
Contractor Name: Riverside Construction Company
Contractor Address: 4225 Garner Road, Riverside CA, 92502
Resident Engineer: Paul Brown Structure Rep.: Hien Vu

Sample Information

DIME Sample ID: 2022-06-22-59
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: 06/22/2022
Date that the sample was received by the laboratory/organization performing the testing: 06/23/2022
The quantity of what the sample constitutes: 2 boxes, 1 Cores
A brief description of the sample: RHMA-G-SP 1/2" PG64-16
From where was the sample collected: Manufacturer
Laboratory sample identification: 1A
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: AAA Corona

Material Information

HMA Type: RHMA-G
HMA Grading: 1/2 inch
Lot number:
Sublot number:
HMA Mix Number:

Test Results

Test 1 of 2

DIME Test ID: 2022-06-22-59-1
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: 07/01/2022
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 2.455
Theoretical maximum density at 25°C (77°F) 152.8 lb/ft^3

Test 2 of 2

DIME Test ID: 2022-06-22-59-2
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: 07/01/2022
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:
Additional Comments When Verified:
Bulk Specific Gravity 2.237