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Sample Record for 2023-10-12-99

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

Project Information

Project ID: 994615 DEA: 112N1644 EFIS: 1122000151 QA Service Level: 1
DIST-CO-RTE-PM: 11-IMP-8-R3.7/R48.0
Work Description: MICROSURFACING, COLD PLANE, RHMA, PAVEMENT MARKING, & CENSUS SYSTEMS.
Location Description: IMPERIAL COUNTY AT VARIOUS LOCATIONS FROM 0.7 MILE EAST OF MOUNTAIN SPRINGS ROAD UNDERCROSSING TO 0.2 MILE EAST OF ROUTE 7/8 SEPARATION
Contractor Name: CALMEX ENGINEERING INC.
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-10-12-99
TL Number from the TL Form:
Sample Submitted By Organization: CT D11 - District 11 Materials Laboratory
Sample Organization Contact: (858) 688-1570
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 10/12/2023
Date that the sample was received by the laboratory/organization performing the testing: 10/16/2023
The quantity of what the sample constitutes: 4 boxes 4 bags
A brief description of the sample: 1/2 RHMA-G
From where was the sample collected: Job Site
Laboratory sample identification: 9803-A
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: API Gateway

Material Information

HMA Type: RHMA-G
HMA Grading: 1/2 inch
Lot number:
Sublot number:
HMA Mix Number:

Test Results

Test 1 of 4

DIME Test ID: 2023-10-12-99-1
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: 03/19/2024
Date Tested: 11/28/2023
Submitted By Organization: CT D11 - District 11 Materials Laboratory
Organization Address: 7177 Opportunity Road,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92111
Organization Email: dave.m.cortez@dot.ca.gov
Organization Phone: (858) 688-1570
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Number of Samples 1
What is the unit of measurement for theoretical density? US Units
Mass Determination Air
Method Performed Mechanical Agitation - Method A
Mass of container filled with water 1 7477.1 grams
Mass of oven-dry sample in air for Sample 1 1555.2 grams
Mass of container filled with the sample and water for Sample 1 8386 grams
Temperature of Water 77 °F
Specific Gravity for Sample 1 2.406
Theoretical maximum density at 25°C (77°F) 149.8 lb/ft^3

Test 2 of 4

DIME Test ID: 2023-10-12-99-2
Test Method: AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)
Verified Date: 03/19/2024
Date Tested: 11/28/2023
Submitted By Organization: CT D11 - District 11 Materials Laboratory
Organization Address: 7177 Opportunity Road,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92111
Organization Email: dave.m.cortez@dot.ca.gov
Organization Phone: (858) 688-1570
General Comments for this Test: Fail
Test Result Compliance: does not comply
Additional Comments When Verified:
Percent Air Voids 2.5 %
Percent Air Voids 2 2.6 %
Percent Air Voids 3 2.6 %
Average Percent Air Voids 2.6 %

Test 3 of 4

DIME Test ID: 2023-10-12-99-3
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: 03/19/2024
Date Tested: 11/28/2023
Submitted By Organization: CT D11 - District 11 Materials Laboratory
Organization Address: 7177 Opportunity Road,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92111
Organization Email: dave.m.cortez@dot.ca.gov
Organization Phone: (858) 688-1570
General Comments for this Test: Complies
Test Result Compliance: complies
Additional Comments When Verified:
What temperature unit is used? Fahrenheit
Test procedure used? Method A
Mass of the specimen basket assembly 4018.5 g
Mass of the specimen and specimen basket assembly prior to ignition 5558.8 g
Mass of HMA Sample prior to ignition 1540.3 g
Corrected Asphalt Binder Content 7.98 %
Mass Loss 124.1 g
Mass of aggregate remaining after ignition 1416.2 g
Correction Factor (Percent by mass of HMA Specimen) 0.08 %
Moisture Content no data0 %
Temperature Compensation Factor no data0 %
Test Temperature 538 F

Test 4 of 4

DIME Test ID: 2023-10-12-99-4
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: 03/19/2024
Date Tested: 11/28/2023
Submitted By Organization: CT D11 - District 11 Materials Laboratory
Organization Address: 7177 Opportunity Road,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92111
Organization Email: dave.m.cortez@dot.ca.gov
Organization Phone: (858) 688-1570
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Bulk Specific Gravity 2.345
Bulk Specific Gravity 2 2.343
Bulk Specific Gravity 3 2.343
Average Bulk Specific Gravity 2.344