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Sample Record for 2023-05-05-61

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

Project Information

Project ID: 214820 DEA: 081K4604 EFIS: 0819000045 QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-215-R36.6/R37.2
Work Description: ADD A S/B AND N/B AUX LANE
Location Description: RIVERSIDE COUNTY NEAR MORENO VALLEY FROM 0.2 MILE NORTH OF ALESSANDRO BOULEVARD OVERCROSSING TO 0.2 MILE SOUTH OF EUCALYPTUS AVENUE OVERCROSSING
Contractor Name: Riverside Construction Company
Contractor Address: 4225 Garner Road, Riverside CA, 92502
Resident Engineer: Paul Brown Structure Rep.: Hien Vu

Sample Information

DIME Sample ID: 2023-05-05-61
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: 05/05/2023
Date that the sample was received by the laboratory/organization performing the testing: 05/16/2023
The quantity of what the sample constitutes: 5 Cores
A brief description of the sample: HMA-SP 3/4"
From where was the sample collected: Manufacturer
Laboratory sample identification: 1A,1B,1C,2A,2B
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: AAA Corona

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number:
Sublot number:
HMA Mix Number: 105927
Test results on following page(s): 3

Test Results

Test 1 of 3

DIME Test ID: 2023-05-05-61-1
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: 05/30/2023
Date Tested: 05/25/2023
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 2.299
Bulk Specific Gravity 2 2.314
Bulk Specific Gravity 3 2.310
Average Bulk Specific Gravity 2.308

Test 2 of 3

DIME Test ID: 2023-05-05-61-2
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: 05/30/2023
Date Tested: 05/25/2023
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 2A, 2B
Test Result Compliance:
Additional Comments When Verified:
Bulk Specific Gravity 2.295
Bulk Specific Gravity 2 2.315
Average Bulk Specific Gravity 2.305

Test 3 of 3

DIME Test ID: 2023-05-05-61-3
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: 05/30/2023
Date Tested: 05/17/2023
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 2.538
Theoretical maximum density at 25°C (77°F) 158.0 lb/ft^3