Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214438 DEA: 080G6914 EFIS: 0815000184
QA Service Level: 1
DIST-CO-RTE-PM: 08---
Work Description: RELINE OR REPLACE CULVERTS
Location Description: SAN BERNARDINO COUNTY IN AND NEAR SAN BERNARDINO FROM 48TH STREET TO ROUTE 18/138 SEPARATION
Contractor Name: SUKUT CONSTRUCTION, LLC.
Contractor Address: Unknown
Resident Engineer: NHAN NGUYEN Structure Rep.: Unknown
DIME Sample ID: 2022-12-08-36
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: 12/08/2022
Date that the sample was received by the laboratory/organization performing the testing: 12/16/2022
The quantity of what the sample constitutes: 1 boxes, 1 Cores
A brief description of the sample: 3/4" HMA-A-SP R12 0.75%LAS
From where was the sample collected: Manufacturer
Laboratory sample identification: 2C
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Matich Plant Rialto
DIME Test ID: 2022-12-08-36-1
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: 12/22/2022
Date Tested: 12/21/2022
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:
|
Number of tests
|
1
|
|
What is the unit of measurement for theoretical density?
|
US Units
|
|
Mass Determination
|
Air
|
|
Specific Gravity for Sample 1
|
2.487
|
|
Theoretical maximum density at 25°C (77°F)
|
154.8 lb/ft^3
|
DIME Test ID: 2022-12-08-36-2
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: 12/22/2022
Date Tested: 12/22/2022
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: Core 2C
Test Result Compliance:
Additional Comments When Verified:
|
Bulk Specific Gravity
|
2.318
|
