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Sample Record for 2023-12-06-8

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Project Information

Project ID: 214549 DEA: 081H2904 EFIS: 0817000006 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-173-18.7
Work Description: STRUCTURAL CONCRETE SOIL NAIL WALL AND SOLDIER PILE WALL.
Location Description: SAN BERNARDINO COUNTY NEAR CEDAR GLEN AT 0.1 MILE SOUTH OF HOSPITAL ROAD
Contractor Name: Stronghold Engineering, Inc.
Contractor Address: 150 W. Walnut Ave, Perris, CA 92571
Resident Engineer: Elvira Lenart Structure Rep.: Ravinder Singh

Sample Information

DIME Sample ID: 2023-12-06-8
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: 12/06/2023
Date that the sample was received by the laboratory/organization performing the testing: 12/07/2023
The quantity of what the sample constitutes: 16 BOXES OF HMA
A brief description of the sample: 3/4" HMA-A R15 05% LAS
From where was the sample collected: Manufacturer
Laboratory sample identification: 0608A-23
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Matich Plant Rialto

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number:
Sublot number:
HMA Mix Number: LHP 63D

Test Results

Test 1 of 4

DIME Test ID: 2023-12-06-8-1
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: 01/10/2024
Date Tested: 12/08/2023
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 2
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 7329.4 grams
Mass of oven-dry sample in air for Sample 1 2563.0 grams
Mass of container filled with the sample and water for Sample 1 8861.3 grams
Mass of container filled with water 2 7352.9 grams
Mass of oven-dry sample in air for Sample 2 2559.1 grams
Mass of container filled with the sample and water for Sample 2 8885.7 grams
Temperature of Water 77 °F
Specific Gravity for Sample 1 2.486
Specific Gravity for Sample 2 2.494
Average Specific Gravity 2.490
Theoretical maximum density at 25°C (77°F) 2483 kg/m^3

Test 2 of 4

DIME Test ID: 2023-12-06-8-2
Test Method: AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)
Verified Date: 01/10/2024
Date Tested: 12/11/2023
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 4.2 %
Percent Air Voids 2 4.3 %
Percent Air Voids 3 4.2 %
Percent Air Voids Average 4.2 %

Test 3 of 4

DIME Test ID: 2023-12-06-8-3
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: 01/11/2024
Date Tested: 12/11/2023
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 2.385
Bulk Specific Gravity 2 2.383
Bulk Specific Gravity 3 2.386
Average Bulk Specific Gravity 2.385

Test 4 of 4

DIME Test ID: 2023-12-06-8-4
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: 01/11/2024
Date Tested: 12/08/2023
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 2189.0 g
Corrected Asphalt Binder Content 4.61 %
Mass Loss 115.4 g
Correction Factor (Percent by mass of HMA Specimen) 0.54 %
Moisture Content 0.00 %
Temperature Compensation Factor 0.12 %
Test Temperature 538 C