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Sample Record for 2023-03-26-2

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

Project Information

Project ID: 994501 DEA: 072XE904 EFIS: 0723000103 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-71-R1.52/1.60
Work Description: Saw cut around the localized failed area (digouts) to remove the AC pavement, replace with HMA-A and replace any pavement delineation and pavement markers that are removed.
Location Description: In Los Angeles County, in the City of Pomona, on both the southbound and northbound directions of LA 71, from Valley Blvd (PM R1.52) to Mission Blvd (PM 1.60).
Contractor Name: RJ Noble Company
Contractor Address: 15505 E. Lincoln Ave., Orange, CA 92865
Resident Engineer: Hai Hong Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-03-26-2
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: Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 03/26/2023
Date that the sample was received by the laboratory/organization performing the testing: 04/04/2023
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: 23-041
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: RJ Noble Orange

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number: 1
Sublot number:
HMA Mix Number:
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2023-03-26-2-1
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: 04/07/2023
Date Tested: 04/06/2023
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 2.361
Bulk Specific Gravity 2 2.362
Bulk Specific Gravity 3 2.410
Average Bulk Specific Gravity 2.378