Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214345 DEA: 120P94U4 EFIS: 1217000076
QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-133-3.2/R4.1
Work Description: ROADWAY WIDENING, RESTRIPING AND DRAINAGE WORK.
Location Description: ORANGE COUNTY IN THE CITY OF LAGUNA BEACH FROM 0.2 MILE SOUTH OF EL TORO ROAD TO ROUTE 73/133 SEPARATION
Contractor Name: Granite Construction
Contractor Address: Unknown
Resident Engineer: Franklin Luna Structure Rep.: Chungkeun (Chung) Lee
DIME Sample ID: 2024-01-09-44
TL Number from the TL Form:
Sample Submitted By Organization: CT D12 - Huntington Beach Field Laboratory
Sample Organization Contact: 9492798846
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 01/09/2024
Date that the sample was received by the laboratory/organization performing the testing: 01/09/2024
The quantity of what the sample constitutes: RHMAG, AGG
A brief description of the sample: 3/4 RHMAG
From where was the sample collected: Manufacturer
Laboratory sample identification: 24-0025
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Irwindale
DIME Test ID: 2024-01-09-44-1
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: 03/12/2024
Date Tested: 02/15/2024
Submitted By Organization: CT D12 - Huntington Beach Field Laboratory
Organization Address: 19601 Beach Boulevard,
Organization City: Huntington Beach
Organization State: CA
Organization Zipcode: 92648
Organization Email: frank.mai@dot.ca.gov
Organization Phone: (949) 279-8846
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
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Bulk Specific Gravity
|
2.338
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