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Sample Record for 2023-06-12-18

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

Project Information

Project ID: 994401 DEA: 09379304 EFIS: 0919000007 QA Service Level: 1
DIST-CO-RTE-PM: 09-INY-127-21.0/34.5,41.8/49.4
Work Description: PARTIAL DEPTH RECYCLE AND HOT MIX ASPHALT (TYPE A).
Location Description: INYO COUNTY NEAR SHOSHONE FROM 4.6 MILES NORTH OF ROUTE 178 WEST TO 7.6 MILES SOUTH OF ROUTE 190 AND FROM 0.3 MILE SOUTH OF ROUTE 190 TO NEVADA STATE LINE
Contractor Name: HAT CREEK CONSTRUCTION & MATERIALS INC.
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-06-12-18
TL Number from the TL Form:
Sample Submitted By Organization: CT D09 - Bishop Field Laboratory
Sample Organization Contact: (760) 872-5211
Type of Sample: Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 06/12/2023
Date that the sample was received by the laboratory/organization performing the testing: 06/16/2023
The quantity of what the sample constitutes: 3 cores
A brief description of the sample: HMA Cores
From where was the sample collected: Job Site
Laboratory sample identification: Cores-84
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Hat Creek Construction

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number:
Sublot number:
HMA Mix Number:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2023-06-12-18-1
Test Method: AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)
Verified Date: 06/20/2023
Date Tested: 06/20/2023
Submitted By Organization: CT D09 - Bishop Field Laboratory
Organization Address: 500 South Main Street,
Organization City: Bishop
Organization State: CA
Organization Zipcode: 93514
Organization Email: chris.talbot@dot.ca.gov
Organization Phone: (760) 872-0794
General Comments for this Test: Core-84
Test Result Compliance: complies
Additional Comments When Verified:
Percent Air Voids 7.9 %
Percent Air Voids 2 9.4 %
Percent Air Voids 3 8.2 %
Percent Air Voids Average 8.5 %

Test 2 of 2

DIME Test ID: 2023-06-12-18-2
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: 06/20/2023
Date Tested: 06/20/2023
Submitted By Organization: CT D09 - Bishop Field Laboratory
Organization Address: 500 South Main Street,
Organization City: Bishop
Organization State: CA
Organization Zipcode: 93514
Organization Email: chris.talbot@dot.ca.gov
Organization Phone: (760) 872-0794
General Comments for this Test: Core-84
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.324
Bulk Specific Gravity 2 2.286
Bulk Specific Gravity 3 2.316
Average Bulk Specific Gravity 2.309