Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 215180 DEA: 060Q9204 EFIS: 0614000010 COOP: 061764
QA Service Level: 1
DIST-CO-RTE-PM: 06-KER-99-10.4/21.2
Work Description: CONSTRUCT CRCP AND HMA (TYPE A) PAVEMENT.
Location Description: KERN COUNTY IN AND NEAR BAKERSFIELD FROM 0.4 MILE SOUTH OF OLD US 99 OVERCROSSING TO 0.1 MILE NORTH OF WHITE LANE OVERCROSSING
Contractor Name: Griffith Company
Contractor Address: 1128 Carrier Parkway, Bakersfield ,CA 93308
Resident Engineer: James Burford Structure Rep.: Ulysis Baal
DIME Sample ID: 2023-08-25-16
TL Number from the TL Form:
Sample Submitted By Organization: CT D06 - Bakersfield Field Laboratory
Sample Organization Contact: 661-549-8281
Type of Sample: Department Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 08/25/2023
Date that the sample was received by the laboratory/organization performing the testing: 08/28/2023
The quantity of what the sample constitutes: L1SL109 10 boxes HMA
A brief description of the sample: 3/4 HMA-SP Type A
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Griffith Edmonston
DIME Test ID: 2023-08-25-16-1
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: 08/29/2023
Date Tested: 08/29/2023
Submitted By Organization: CT D06 - Bakersfield Field Laboratory
Organization Address: 1824 Norris Road,
Organization City: Bakersfield
Organization State: CA
Organization Zipcode: 93308
Organization Email: kulwinder.rai@dot.ca.gov
Organization Phone: (661) 549-8281
General Comments for this Test: 109A= 93.7%
Test Result Compliance: complies
Additional Comments When Verified:
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Bulk Specific Gravity
|
2.428
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