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Sample Record for 2023-09-19-4

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Project Information

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

Sample Information

DIME Sample ID: 2023-09-19-4
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: 09/19/2023
Date that the sample was received by the laboratory/organization performing the testing: 09/19/2023
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-17
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Fisher Sand and 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 3

DIME Test ID: 2023-09-19-4-1
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: 09/19/2023
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:
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 7338.1 grams
Mass of oven-dry sample in air for Sample 1 2529.4 grams
Mass of container filled with the sample and water for Sample 1 8862.7 grams
Temperature of Water 77 °F
Specific Gravity for Sample 1 2.517
Theoretical maximum density at 25°C (77°F) 156.7 lb/ft^3

Test 2 of 3

DIME Test ID: 2023-09-19-4-2
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: 09/19/2023
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-17 A - 94.7% CR-17 B - 92.5% CR-17 C - 93.0%
Test Result Compliance: complies
Additional Comments When Verified:
Percent Air Voids 5.3 %
Percent Air Voids 2 7.5 %
Percent Air Voids 3 7.0 %
Percent Air Voids Average 6.6 %

Test 3 of 3

DIME Test ID: 2023-09-19-4-3
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: 09/19/2023
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-17 A, B, & C
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.384
Bulk Specific Gravity 2 2.328
Bulk Specific Gravity 3 2.340
Average Bulk Specific Gravity 2.351