Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214708 DEA: 07323904 EFIS: 0716000072
QA Service Level: 1
DIST-CO-RTE-PM: 07-VEN-1-21.3/28.4
Work Description: COLD PLANE AC, PLACE RUBBERIZED HOT MIX AS
Location Description: VENTURA COUNTY NEAR VENTURA FROM ROUTE 1/101 SEPARATION TO MOBIL PIER ROAD.
Contractor Name: C. A. Rasmussen, Inc.
Contractor Address: 28548 Livingston Avenue, Valencia, CA 91355
Resident Engineer: Alfred Ira Structure Rep.: Unknown
DIME Sample ID: 2023-11-28-36
TL Number from the TL Form: na
Sample Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Sample Organization Contact: (213) 817-0387
Type of Sample: Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 11/28/2023
Date that the sample was received by the laboratory/organization performing the testing: 12/01/2023
The quantity of what the sample constitutes: 750 Tons
A brief description of the sample: 3/4" hma - a220831 sva sjr
From where was the sample collected: Job Site
Laboratory sample identification: 23-547
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CA Rasmussen Inc.
DIME Test ID: 2023-11-28-36-1
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: 12/04/2023
Date Tested: 12/04/2023
Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Organization Address: 1940 South Workman Mill Road,
Organization City: Whittier
Organization State: CA
Organization Zipcode: 90601
Organization Email: chad.chotibhongs@dot.ca.gov
Organization Phone: (213) 817-0387
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
|
Bulk Specific Gravity
|
2.387
|
|
Bulk Specific Gravity 2
|
2.358
|
|
Average Bulk Specific Gravity
|
2.373
|
