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Sample Record for 2023-06-19-54

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Project Information

Project ID: 994825 DEA: 070W3204 EFIS: 0721000258 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-164-4.8/6.9
Work Description: CONSTRUCTION ON STATE HIGHWAY IN LOS ANGELES COUNTY FROM GARY AVENUE IN SOUTH EL MONTE TO RUDELL UNDERPASS IN TEMPLE CITY
Location Description: 07-LA-164-4.8/6.9
Contractor Name: Sayed Hekmat
Contractor Address: 3785 Channel Dr. West Sacramento, CA, 95691
Resident Engineer: Gilberto Mejia Figueroa Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-06-19-54
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: Production Start-Up
Type of Material: Hot Mix Asphalt
Sample Taken Date: 06/19/2023
Date that the sample was received by the laboratory/organization performing the testing: 06/21/2023
The quantity of what the sample constitutes: 17 Boxes HMA
A brief description of the sample: 3/4" HMA-A-SP R15 No LAS PG64-10
From where was the sample collected: Manufacturer
Laboratory sample identification: 0328A-23
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: All American - Corona

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number:
Sublot number:
HMA Mix Number: 105793
Test results on following page(s): 4

Test Results

Test 1 of 4

DIME Test ID: 2023-06-19-54-1
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: 07/13/2023
Date Tested: 06/24/2023
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 2113.3 g
Corrected Asphalt Binder Content 4.53 %
Mass Loss 107.9 g
Correction Factor (Percent by mass of HMA Specimen) 0.44 %
Moisture Content 0.00 %
Temperature Compensation Factor 0.00 %
Test Temperature 538 C

Test 2 of 4

DIME Test ID: 2023-06-19-54-2
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: 07/13/2023
Date Tested: 06/23/2023
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: not applicable
Additional Comments When Verified:
Number of tests 1
What is the unit of measurement for theoretical density? SI Units
Mass Determination Air
Specific Gravity for Sample 1 2.534
Theoretical maximum density at 25°C (77°F) 997.0 kg/m^3

Test 3 of 4

DIME Test ID: 2023-06-19-54-3
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: 07/13/2023
Date Tested: 06/24/2023
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: not applicable
Additional Comments When Verified:
Bulk Specific Gravity 2.403
Bulk Specific Gravity 2 2.404
Bulk Specific Gravity 3 2.402
Average Bulk Specific Gravity 2.403

Test 4 of 4

DIME Test ID: 2023-06-19-54-4
Test Method: AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)
Verified Date: 07/13/2023
Date Tested: 06/24/2023
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:
Percent Air Voids 5.2 %
Percent Air Voids 2 5.1 %
Percent Air Voids 3 5.2 %
Percent Air Voids Average 5.2 %