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Sample Record for 2022-08-29-75

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

Project Information

Project ID: 993628 DEA: 081M0504 EFIS: 0821000064 QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-15,215-23.9/33.4,R8.4/41.5
Work Description: COLD PLANE AC PVMT, RHMA, AND REPLACE ASPHALT CONCRETE SURFACING.
Location Description: RIVERSIDE COUNTY ON ROUTE 15 FROM 0.1 MILE NORTH OF NICHOLS ROAD OVERCROSSING TO 0.1 MILE NORTH OF TEMESCAL CANYON ROAD UNDERCROSSING AND ON ROUTE 215 FROM 1.1 MILES SOUTH OF MURRIETA HOT SPRINGS ROAD UNDERCROSSING TO UNIVERSITY AVENUE UNDERCROSSING.
Contractor Name: ALL AMERICAN ASPHALT
Contractor Address: Unknown
Resident Engineer: BERGEVIN MICHAEL Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2022-08-29-75
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: 08/29/2022
Date that the sample was received by the laboratory/organization performing the testing: 09/08/2022
The quantity of what the sample constitutes: 2 boxes, 4 Cores
A brief description of the sample: 3/4" RHMA-G PG64-16RB #106835
From where was the sample collected: Manufacturer
Laboratory sample identification: 1A,1B,1C,2A
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: AAA Corona

Material Information

HMA Type: RHMA-G
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: 2022-08-29-75-1
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: 10/07/2022
Date Tested: 09/08/2022
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 2.451
Theoretical maximum density at 25°C (77°F) 152.6 lb/ft^3

Test 2 of 3

DIME Test ID: 2022-08-29-75-2
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: 10/07/2022
Date Tested: 09/08/2022
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 1A, 1B, 1C
Test Result Compliance:
Additional Comments When Verified:
Bulk Specific Gravity 2.250
Bulk Specific Gravity 2 2.284
Bulk Specific Gravity 3 2.279
Average Bulk Specific Gravity 2.271

Test 3 of 3

DIME Test ID: 2022-08-29-75-3
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: 10/07/2022
Date Tested: 09/08/2022
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: Core 2A
Test Result Compliance:
Additional Comments When Verified:
Bulk Specific Gravity 2.294