Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993608 DEA: 081H8204 EFIS: 0817000138
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-15,138-R21.6,R14.8/R15.1
Work Description: SIGNAL AND LIGHTING SYSTEM, HMA, JPCP, AND ROADWAY EXCAVATION.
Location Description: SAN BERNARDINO COUNTY IN PHELAN ON ROUTE 138 FROM 0.3 MILE WEST OF ROUTE 138/15 SEPARATION TO ROUTE 138/15 SEPARATION AND ON ROUTE 15 SOUTHBOUND EXIT RAMP AT ROUTE 138
Contractor Name: EVERLEVEL HOLDINGS, LLC
Contractor Address: 5877 PINE AVE. SUITE 240, CHINO HILLS, CA 91709
Resident Engineer: Vu Thanh Nguyen Structure Rep.: Unknown
DIME Sample ID: 2023-06-24-6
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 06/24/2023
Date that the sample was received by the laboratory/organization performing the testing: 06/28/2023
The quantity of what the sample constitutes: 4 boxes of HMA 755 tons out
A brief description of the sample: 3/4" HMA-A-SP R15 0.75%% LAS
From where was the sample collected: Manufacturer
Laboratory sample identification: 0339A-23
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan-Oro Grande
DIME Test ID: 2023-06-24-6-1
Test Method: AASHTO T308-10: Standard Method of Test for Determining the Asphalt Binder Content of Hot Mix Asphalt (HMA) by the Ignition Method (Method A) (Asphalt Binder Content)
Verified Date: 07/03/2023
Date Tested: 06/29/2023
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: 9098293029
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
What temperature unit is used?
|
Celsius
|
Test procedure used?
|
Method A
|
Mass of HMA Sample prior to ignition
|
2169.6 g
|
Corrected Asphalt Binder Content
|
4.57 %
|
Mass Loss
|
111.7 g
|
Correction Factor (Percent by mass of HMA Specimen)
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0.44 %
|
Moisture Content
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0.00 %
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Temperature Compensation Factor
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0.14 %
|
Test Temperature
|
538 C
|