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Sample Record for 2023-09-14-23

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 213404 DEA: 120Q3404 EFIS: 1216000130 Permit Numbers: 1217NMC0723 1218NDP0423 1218NRT0056 QA Service Level: 2
DIST-CO-RTE-PM: 12-ORA-241-13.1/16.7
Work Description: Construct the Oso PWY bridge and extend SR-241 to connect to Los Patrones PKW. in the County of Orange. Two lanes will be constructed of HMA in each direction on SR-241. Oso Parkway N/B on-ramp and S/B off-ramp gores will be modified to connect to new mainline pavement. improve new overhead signs,
Location Description: OSO PARKWAY INTERCHANGE, COUNTY OF ORANGE
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Kami Fallah Structure Rep.: Sara Solemani

Sample Information

DIME Sample ID: 2023-09-14-23
TL Number from the TL Form:
Sample Submitted By Organization: CT D09 - Bishop Field Laboratory
Sample Organization Contact: (760) 872-5211
Type of Sample: Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 09/14/2023
Date that the sample was received by the laboratory/organization performing the testing: 09/15/2023
The quantity of what the sample constitutes: 8 Boxes of HMA
A brief description of the sample: 3/4" HMA-A-SP WMA R25
From where was the sample collected: Job Site
Laboratory sample identification: HMA-R10
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Fisher Sand & Gravel

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number:
Sublot number:
HMA Mix Number:

Test Results

Test 1 of 4

DIME Test ID: 2023-09-14-23-1
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: 09/15/2023
Submitted By Organization: CT D09 - Bishop Field Laboratory
Organization Address: 500 South Main Street,
Organization City: Bishop
Organization State: CA
Organization Zipcode: 93514
Organization Email: chris.talbot@dot.ca.gov
Organization Phone: (760) 872-0794
General Comments for this Test: HMA-R10
Test Result Compliance: complies
Additional Comments When Verified:
Number of Samples 1
What is the unit of measurement for theoretical density? US Units
Mass Determination Air
Method Performed Mechanical Agitation - Method A
Mass of container filled with water 1 7310.5 grams
Mass of oven-dry sample in air for Sample 1 2520.6 grams
Mass of container filled with the sample and water for Sample 1 8823.8 grams
Temperature of Water 77.2 °F
Specific Gravity for Sample 1 2.502
Theoretical maximum density at 25°C (77°F) 155.7 lb/ft^3

Test 2 of 4

DIME Test ID: 2023-09-14-23-2
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: 09/15/2023
Submitted By Organization: CT D09 - Bishop Field Laboratory
Organization Address: 500 South Main Street,
Organization City: Bishop
Organization State: CA
Organization Zipcode: 93514
Organization Email: chris.talbot@dot.ca.gov
Organization Phone: (760) 872-0794
General Comments for this Test: HMA-R10
Test Result Compliance: complies
Additional Comments When Verified:
What temperature unit is used? Celsius
Test procedure used? Method A
Mass of the specimen basket assembly 4243.2 g
Mass of the specimen and specimen basket assembly prior to ignition 6714.5 g
Mass of HMA Sample prior to ignition 2471.3 g
Corrected Asphalt Binder Content 4.70 %
Mass Loss 120.4 g
Mass of aggregate remaining after ignition 2350.9 g
Correction Factor (Percent by mass of HMA Specimen) 0.17 %
Moisture Content 0.00 %
Temperature Compensation Factor 0.00 %
Test Temperature 538 C

Test 3 of 4

DIME Test ID: 2023-09-14-23-3
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: 09/15/2023
Date Tested: 09/15/2023
Submitted By Organization: CT D09 - Bishop Field Laboratory
Organization Address: 500 South Main Street,
Organization City: Bishop
Organization State: CA
Organization Zipcode: 93514
Organization Email: chris.talbot@dot.ca.gov
Organization Phone: (760) 872-0794
General Comments for this Test: HMA-R10
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.413
Bulk Specific Gravity 2 2.411
Bulk Specific Gravity 3 2.413
Average Bulk Specific Gravity 2.412

Test 4 of 4

DIME Test ID: 2023-09-14-23-4
Test Method: AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)
Verified Date: 09/15/2023
Date Tested: 09/15/2023
Submitted By Organization: CT D09 - Bishop Field Laboratory
Organization Address: 500 South Main Street,
Organization City: Bishop
Organization State: CA
Organization Zipcode: 93514
Organization Email: chris.talbot@dot.ca.gov
Organization Phone: (760) 872-0794
General Comments for this Test: HMA-R10
Test Result Compliance: complies
Additional Comments When Verified:
Percent Air Voids 3.6 %
Percent Air Voids 2 3.6 %
Percent Air Voids 3 3.6 %
Percent Air Voids Average 3.6 %