Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993545 DEA: 07328504 EFIS: 0716000178
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-210-R44.7/R52.1
Work Description: INSTALL DPP INFILTRATION AREA & CONSTRUCT MAINTENANCE VEHICLE PULLOUT
Location Description: LOS ANGELES COUNTY FROM 0.4 MILE EAST OF SOUTH LONE HILL AVENUE UNDERCROSSING TO COUNTY LINE
Contractor Name: Chumo Construction
Contractor Address: 14425 Joanbridge St, Baldwin Park, CA 91706
Resident Engineer: Sushilkumar Chaudhari Structure Rep.: Unknown
DIME Sample ID: 2022-12-21-69
TL Number from the TL Form: na
Sample Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Sample Organization Contact: (213) 817-0387
Type of Sample: Department Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 12/21/2022
Date that the sample was received by the laboratory/organization performing the testing: 01/06/2023
The quantity of what the sample constitutes: 750 Tons
A brief description of the sample: 3/4" hma - a220831 sva sjr
From where was the sample collected: Job Site
Laboratory sample identification: 22-0391
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Irwindale
DIME Test ID: 2022-12-21-69-1
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: 01/13/2023
Date Tested: 01/12/2023
Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Organization Address: 1940 South Workman Mill Road,
Organization City: Whittier
Organization State: CA
Organization Zipcode: 90601
Organization Email: chad.chotibhongs@dot.ca.gov
Organization Phone: (213) 817-0387
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
|
Bulk Specific Gravity
|
2.330
|
|
Bulk Specific Gravity 2
|
2.266
|
|
Average Bulk Specific Gravity
|
2.298
|
