Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214670 DEA: 07331004 EFIS: 0716000220
QA Service Level: 1
DIST-CO-RTE-PM: 07-VEN-101-9.0/9.2
Work Description: CONCRETE SLAB REPLACEMENT & GRIND, PAVEMENT & RESURFACE ACE
Location Description: VENTURA COUNTY IN THOUSAND OAKS FROM NORTHBOUND OFF-RAMP TO SOUTHBOUND OFF-RAMP AT CONEJO COMMERCIAL VEHICLE ENFORCEMENT FACILITIES
Contractor Name: POWELL CONSTRUCTORS INC
Contractor Address: 8555 BANANA AVE, FONTANA, CA 92335
Resident Engineer: Ranjit Singh Structure Rep.: Unknown
DIME Sample ID: 2023-09-08-28
TL Number from the TL Form: 924630A
Sample Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Sample Organization Contact: (213) 817-0387
Type of Sample: Department Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 09/08/2023
Date that the sample was received by the laboratory/organization performing the testing: 09/12/2023
The quantity of what the sample constitutes: 750 Tons
A brief description of the sample: 3/4" HMA-A 105793
From where was the sample collected: Manufacturer
Laboratory sample identification: 23-429
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: AAA-Irwindale
DIME Test ID: 2023-09-08-28-1
Test Method: AASHTO T209-22: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)
Verified Date: 09/15/2023
Date Tested: 09/12/2023
Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Organization Address: 1940 South Workman Mill Road,
Organization City: Whittier
Organization State: CA
Organization Zipcode: 90601
Organization Email: chad.chotibhongs@dot.ca.gov
Organization Phone: (213) 817-0387
General Comments for this Test:
Test Result Compliance: not applicable
Additional Comments When Verified:
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Number of Samples
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1
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What is the unit of measurement for theoretical density?
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US Units
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Mass Determination
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Air
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Method Performed
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no data
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Mass of container filled with water 1
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7359.3 grams
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Mass of oven-dry sample in air for Sample 1
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2589.9 grams
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Mass of container filled with the sample and water for Sample 1
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8929.7 grams
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Temperature of Water
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77 °F
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Specific Gravity for Sample 1
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2.540
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Theoretical maximum density at 25°C (77°F)
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158.1 lb/ft^3
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DIME Test ID: 2023-09-08-28-2
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: 09/15/2023
Date Tested: 09/12/2023
Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Organization Address: 1940 South Workman Mill Road,
Organization City: Whittier
Organization State: CA
Organization Zipcode: 90601
Organization Email: chad.chotibhongs@dot.ca.gov
Organization Phone: (213) 817-0387
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
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What temperature unit is used?
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Celsius
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Test procedure used?
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Method A
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Mass of the specimen basket assembly
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4044.1 g
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Mass of the specimen and specimen basket assembly prior to ignition
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6148.5 g
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Mass of HMA Sample prior to ignition
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2104.4 g
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Corrected Asphalt Binder Content
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4.66 %
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Mass Loss
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104.5 g
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Mass of aggregate remaining after ignition
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1999.9 g
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Correction Factor (Percent by mass of HMA Specimen)
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0.31 %
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Moisture Content
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0.00 %
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Temperature Compensation Factor
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0.00 %
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Test Temperature
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538 C
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