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Sample Record for 2023-08-03-42

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Project Information

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

Sample Information

DIME Sample ID: 2023-08-03-42
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: 08/03/2023
Date that the sample was received by the laboratory/organization performing the testing: 08/07/2023
The quantity of what the sample constitutes: 16 boxes of HMA, 4 bags of AGG, 1 bag of RAP, 2 cans oil
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: 0399A-23
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan-Oro Grande

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number:
Sublot number:
HMA Mix Number: 224112A ORO SJR
Test results on following page(s): 4

Test Results

Test 1 of 4

DIME Test ID: 2023-08-03-42-1
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: 08/23/2023
Date Tested: 08/08/2023
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 2112.0 g
Corrected Asphalt Binder Content 4.71 %
Mass Loss 110.1 g
Correction Factor (Percent by mass of HMA Specimen) -0.36 %
Moisture Content 0.00 %
Temperature Compensation Factor 0.00 %
Test Temperature 538 C

Test 2 of 4

DIME Test ID: 2023-08-03-42-2
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: 08/23/2023
Date Tested: 08/08/2023
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 2.381
Bulk Specific Gravity 2 2.379
Bulk Specific Gravity 3 2.375
Average Bulk Specific Gravity 2.378

Test 3 of 4

DIME Test ID: 2023-08-03-42-3
Test Method: AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)
Verified Date: 08/23/2023
Date Tested: 08/08/2023
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 4.6 %
Percent Air Voids 2 4.7 %
Percent Air Voids 3 4.9 %
Percent Air Voids Average 4.8 %

Test 4 of 4

DIME Test ID: 2023-08-03-42-4
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: 08/23/2023
Date Tested: 08/08/2023
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
Method Performed Mechanical Agitation - Method A
Mass of container filled with water 7353.1 grams
Mass of oven-dry sample in air for Sample 1 2555.1 grams
Mass of container filled with the sample and water for Sample 1 8884.8 grams
Temperature of Water 77 °F
Specific Gravity for Sample 1 2.497
Theoretical maximum density at 25°C (77°F) 2489.8 kg/m^3