Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993805 DEA: 070W1404 EFIS: 0721000062
QA Service Level: 1
DIST-CO-RTE-PM: 07-VEN-1-4.4/9.7
Work Description: COLD PLACE AC PAVEMENT AND PLACE RHMA-G.
Location Description: VENTURA COUNTY FROM BIG SYCAMORE MAINTENANCE STATION AND PARK TO 0.2 MILE SOUTH OF GALLEGUAS GREEK BRIDGE
Contractor Name: C A RASMUSSEN INC
Contractor Address: 28548 LIVINGSTON AVENUE, VALENCIA CA 91355
Resident Engineer: Ranjit Singh Structure Rep.: Unknown
DIME Sample ID: 2023-04-25-82
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: 04/25/2023
Date that the sample was received by the laboratory/organization performing the testing: 05/03/2023
The quantity of what the sample constitutes: 750 Tons
A brief description of the sample: 1/2" rhma sat vlo
From where was the sample collected: Job Site
Laboratory sample identification: 23-117
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Materials Saticoy
DIME Test ID: 2023-04-25-82-1
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: 05/11/2023
Date Tested: 05/10/2023
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
|
2.267
|
|
Bulk Specific Gravity 2
|
2.260
|
|
Bulk Specific Gravity 3
|
2.264
|
|
Average Bulk Specific Gravity
|
2.264
|
