Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214135 DEA: 09213404 EFIS: 0900000030
QA Service Level: 1
DIST-CO-RTE-PM: 09-INY-395-29.9/41.8
Work Description: ROADWAY EXCAVATION, PLACE HMA (TYPE A), AND ALTERNATIVE PIPE CULVERT.
Location Description: INYO COUNTY NEAR OLANCHA AND CARTAGO FROM 1.4 MILES SOUTH OF LOS ANGELES AQUEDUCT BRIDGE TO 0.2 MILE SOUTH OF ASH CREEK BRIDGE
Contractor Name: FISHER SAND & GRAVEL CO.
Contractor Address: 1302 W DRIVERS WAY, TEPE, AZ. 85284
Resident Engineer: Kris Raber Structure Rep.: Sheila Reyes
DIME Sample ID: 2023-09-15-34
TL Number from the TL Form:
Sample Submitted By Organization: CT D09 - Bishop Field Laboratory
Sample Organization Contact: (760) 872-5211
Type of Sample: Department Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 09/15/2023
Date that the sample was received by the laboratory/organization performing the testing: 09/18/2023
The quantity of what the sample constitutes: 1 box 3 cores
A brief description of the sample: 3/4" WMA-SP R25
From where was the sample collected: Job Site
Laboratory sample identification: CR-13
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Fisher Sand and Gravel
DIME Test ID: 2023-09-15-34-1
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: 09/19/2023
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:
Test Result Compliance: complies
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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Mechanical Agitation - Method A
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Mass of container filled with water 1
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7338.1 grams
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Mass of oven-dry sample in air for Sample 1
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2544.5 grams
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Mass of container filled with the sample and water for Sample 1
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8863 grams
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Temperature of Water
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76.8 °F
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Specific Gravity for Sample 1
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2.496
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Theoretical maximum density at 25°C (77°F)
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155.4 lb/ft^3
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DIME Test ID: 2023-09-15-34-2
Test Method: AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)
Verified Date: 09/19/2023
Date Tested: 09/18/2023
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: Compaction Results
CR-13 A - 93.6%
CR-13 B - 91.1%
Test Result Compliance: complies
Additional Comments When Verified:
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Percent Air Voids
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6.4 %
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Percent Air Voids 2
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8.9 %
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Average Percent Air Voids
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7.7 %
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DIME Test ID: 2023-09-15-34-3
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: 09/19/2023
Date Tested: 09/18/2023
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: Cores CR-13 A & B
Test Result Compliance: complies
Additional Comments When Verified:
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Bulk Specific Gravity
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2.337
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Bulk Specific Gravity 2
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2.274
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Average Bulk Specific Gravity
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2.306
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