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Sample Record for 2023-11-27-13

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Project Information

Project ID: 994648 DEA: 070W3904 EFIS: 0722000045 QA Service Level: 1
DIST-CO-RTE-PM: 07-VEN-101-10.7/26.7
Work Description: SLURRY SEAL.
Location Description: VENTURA COUNTY FROM CAMARILLO SPRINGS ROAD UNDERCROSSING IN CAMARILLO TO MAIN STREET UNDERCROSSING IN VENTURA
Contractor Name: INTERMOUNTAIN SLURRY SEAL, INC.
Contractor Address: 1120 TERMINAL WAY, RENO NV 89502
Resident Engineer: Denrick Bautista Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-11-27-13
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Production Start-Up
Type of Material: Hot Mix Asphalt
Sample Taken Date: 11/27/2023
Date that the sample was received by the laboratory/organization performing the testing: 11/30/2023
The quantity of what the sample constitutes: 8 Boxes of HMA
A brief description of the sample: 3/4 " WMA-A-SP R15 0.50% EVO
From where was the sample collected: Manufacturer
Laboratory sample identification: 0589A-23
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Sun Valley

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number:
Sublot number:
HMA Mix Number: 220826 SVA VLO
Test results on following page(s): 4

Test Results

Test 1 of 4

DIME Test ID: 2023-11-27-13-1
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: 12/18/2023
Date Tested: 12/01/2023
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: 9098293029
General Comments for this Test:
Test Result Compliance: not applicable
Additional Comments When Verified:
Number of Samples 1
What is the unit of measurement for theoretical density? SI Units
Mass Determination Air
Method Performed Mechanical Agitation - Method A
Mass of container filled with water 1 7329.2 grams
Mass of oven-dry sample in air for Sample 1 2558.4 grams
Mass of container filled with the sample and water for Sample 1 8882.3 grams
Temperature of Water 77 °F
Specific Gravity for Sample 1 2.545
Theoretical maximum density at 25°C (77°F) 2538 kg/m^3

Test 2 of 4

DIME Test ID: 2023-11-27-13-2
Test Method: AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)
Verified Date: 12/18/2023
Date Tested: 12/04/2023
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: 9098293029
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Percent Air Voids 3.7 %
Percent Air Voids 2 3.5 %
Percent Air Voids 3 3.5 %
Percent Air Voids Average 3.5 %

Test 3 of 4

DIME Test ID: 2023-11-27-13-3
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: 12/18/2023
Date Tested: 12/04/2023
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: 9098293029
General Comments for this Test:
Test Result Compliance: not applicable
Additional Comments When Verified:
Bulk Specific Gravity 2.452
Bulk Specific Gravity 2 2.457
Bulk Specific Gravity 3 2.457
Average Bulk Specific Gravity 2.455

Test 4 of 4

DIME Test ID: 2023-11-27-13-4
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: 12/18/2023
Date Tested: 12/01/2023
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: 9098293029
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
What temperature unit is used? Celsius
Test procedure used? Method A
Mass of HMA Sample prior to ignition 2112.0 g
Corrected Asphalt Binder Content 4.59 %
Mass Loss 103.9 g
Correction Factor (Percent by mass of HMA Specimen) 0.26 %
Moisture Content 0.00 %
Temperature Compensation Factor 0.05 %
Test Temperature 538 C