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Sample Record for 2023-12-01-57

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 212246 DEA: 053307A4 EFIS: 0514000027 QA Service Level: 1
DIST-CO-RTE-PM: 05-SLO-46-49.7/54.6
Work Description: Cholame Segment
Location Description:
Contractor Name: Atkinson Construction
Contractor Address: 18201 Von Karman - Suite 800, Irvine, CA 92612
Resident Engineer: Andrew Borrelli Structure Rep.: Dave Lewis

Sample Information

DIME Sample ID: 2023-12-01-57
TL Number from the TL Form: 979511
Sample Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Dispute Resolution
Type of Material: Hot Mix Asphalt
Sample Taken Date: 12/01/2023
Date that the sample was received by the laboratory/organization performing the testing: 01/02/2024
The quantity of what the sample constitutes: LOT 3 SUBLOT 9
A brief description of the sample: 3/4" HMA-A w/15% RAP
From where was the sample collected: Job Site
Laboratory sample identification: 024-001
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Papich Construction

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number: 3
Sublot number: 9
HMA Mix Number:

Test Results

Test 1 of 2

DIME Test ID: 2023-12-01-57-1
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: 01/03/2024
Date Tested: 01/03/2024
Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Boulevard, Room 225,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (916) 227-7302
General Comments for this Test: CORE 39B
Test Result Compliance:
Additional Comments When Verified:
Bulk Specific Gravity 2.195

Test 2 of 2

DIME Test ID: 2023-12-01-57-2
Test Method: AASHTO T209-12: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)
Verified Date: 01/03/2024
Date Tested: 01/03/2024
Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Boulevard, Room 225,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (916) 227-7302
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Number of tests 2
What is the unit of measurement for theoretical density? SI Units
Mass Determination Water
Method Performed no data
Mass of oven-dry sample in air for Sample 1 2637.1 grams
Mass of sample in water for Sample 1 1561.1 grams
Mass of oven-dry sample in air for Sample 2 2576.3 grams
Mass of sample in water for Sample 2 1525.2 grams
Temperature of Water 77 °F
Specific Gravity for Sample 1 2.451
Specific Gravity for Sample 2 2.451
Average Specific Gravity 2.451
Theoretical maximum density at 25°C (77°F) 2443.9 kg/m^3