Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 215336 DEA: 051G9804 EFIS: 0516000009
QA Service Level: 1
DIST-CO-RTE-PM: 05-SLO-1-10.0/16.8
Work Description: RHMA (GAP GRADED), RETAINING WALL, CURB RAMPS AND LIGHTING SYSTEMS.
Location Description: SAN LUIS OBISPO COUNTY FROM GRACIA WAY AT OCEANO TO ROUTE 1/101 SEPARATION IN PISMO BEACH.
Contractor Name: CALPORTLAND CONSTRUCTION
Contractor Address: 1625 E DONOVAN RD, SANTA MARIA, CA 93454
Resident Engineer: ALBERT REED Structure Rep.: Sal Heredia
DIME Sample ID: 2023-09-25-55
TL Number from the TL Form: C230925A
Sample Submitted By Organization: CT D05 - Santa Maria Field Laboratory
Sample Organization Contact:
Type of Sample: Department Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 09/25/2023
Date that the sample was received by the laboratory/organization performing the testing: 09/25/2023
The quantity of what the sample constitutes: Up to 750 Tons
A brief description of the sample: 3/4" HMA-A
From where was the sample collected: Supplier
Laboratory sample identification: 230925A
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Calportland-Garey
DIME Test ID: 2023-09-25-55-2
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: 10/09/2023
Date Tested: 09/25/2023
Submitted By Organization: CT D05 - Santa Maria Field Laboratory
Organization Address: 2053 Preisker Lane, Suite E,
Organization City: Santa Maria
Organization State: CA
Organization Zipcode: 93427
Organization Email: salvador.lopez-zamora@dot.ca.gov
Organization Phone: (805) 748-3854
General Comments for this Test: Rice for L1 SL4
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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Water
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Method Performed
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Mechanical Agitation - Method A
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Mass of oven-dry sample in air for Sample 1
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2518.3 grams
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Mass of container submerged in water for Sample 1
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1329.1 grams
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Mass of the sample and container in water for Sample 1
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2786.2 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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2.373
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Theoretical maximum density at 25°C (77°F)
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147.7 lb/ft^3
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DIME Test ID: 2023-09-25-55-3
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: 10/09/2023
Date Tested: 09/25/2023
Submitted By Organization: CT D05 - Santa Maria Field Laboratory
Organization Address: 2053 Preisker Lane, Suite E,
Organization City: Santa Maria
Organization State: CA
Organization Zipcode: 93427
Organization Email: salvador.lopez-zamora@dot.ca.gov
Organization Phone: (805) 748-3854
General Comments for this Test: Core for L1 SL4
Test Result Compliance: complies
Additional Comments When Verified:
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Bulk Specific Gravity
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2.267
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