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Testing Report for 2021-01-30-8-2

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

Project Information

Project ID: 213746 DEA: 080Q75U4 EFIS: 0817000114 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD,RIV-60-R4.6/R9.9, R0.0/12.2
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Ashraf Mohamed Structure Rep.: Chuang, Ching

Sample Information

DIME Sample ID: 2021-01-30-8
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Sample Organization Contact: (951) 840-8328
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 01/30/2021
Date that the sample was received by the laboratory/organization performing the testing: 01/30/2021
The quantity of what the sample constitutes: 2 boxs, 2 cores
A brief description of the sample: 1/2" HMA-A-SP
From where was the sample collected: Manufacturer
Laboratory sample identification: 5A8,5B8
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Corona Drum

Material Information

HMA Type: Type A HMA
HMA Grading: 1/2 inch
Lot number: Unknown
Sublot number: Unknown

Test Information

DIME Test ID: 2021-01-30-8-1
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: 02/10/2021
Date Tested: 02/05/2021
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria St,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email:
Organization Phone: (951) 840-8328
General Comments for this Test:
Additional Comments When Verified :

Submitted Test Results

Number of tests 1
Mass Determination Water
Specific Gravity for Sample 1 2.505