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Sample Record for 2022-06-13-84

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

Project Information

Project ID: 213707 DEA: 081C38U4 EFIS: 0817000196 QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-10-6.7/R25.1
Work Description: Remove concrete pavement and base, and place HMA and JPCP
Location Description: ROUTE 10/60 SEPARATION IN BEAUMONT TO ROUTE 10/111 SEPARATION NEAR CABAZON.
Contractor Name: Coffman Specialties
Contractor Address: 9685 Via Excelencia, San Diego, CA 92126
Resident Engineer: Elvira Lenart Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2022-06-13-84
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: 06/13/2022
Date that the sample was received by the laboratory/organization performing the testing: 07/14/2022
The quantity of what the sample constitutes: 2 boxes, 6 Cores
A brief description of the sample: HMA-A 3/4" R24 PG 58-34M
From where was the sample collected: Manufacturer
Laboratory sample identification: 1A271,1B271,1C271,1A272,1B272,1C272
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CCA Coachella

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): 3

Test Results

Test 1 of 3

DIME Test ID: 2022-06-13-84-1
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: 06/20/2022
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 2.489
Theoretical maximum density at 25°C (77°F) 154.9 lb/ft^3

Test 2 of 3

DIME Test ID: 2022-06-13-84-2
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: 07/28/2022
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 1A271, 1B271, 1C271
Test Result Compliance:
Additional Comments When Verified:
Bulk Specific Gravity 2.296
Bulk Specific Gravity 2 2.32
Bulk Specific Gravity 3 2.365
Average Bulk Specific Gravity 2.327

Test 3 of 3

DIME Test ID: 2022-06-13-84-3
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: 07/28/2022
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 1A272, 1B272, 1C272
Test Result Compliance:
Additional Comments When Verified:
Bulk Specific Gravity 2.377
Bulk Specific Gravity 2 2.354
Bulk Specific Gravity 3 2.349
Average Bulk Specific Gravity 2.36