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Testing Report for 2020-12-15-19-2

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

Project Information

EFIS: 0019000043
Project ID: 66667
QA Service Level:
Work Description: Special project for submitting Sample information for JMF Prequalification Program.
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-12-15-19
TL Number from the TL Form:
Sample Submitted By Organization: CT D05 - Field Laboratory
Sample Organization Contact: (559) 230-3109
Type of Sample: Verification
Type of Material: Hot Mix Asphalt
Sample Taken Date: 12/15/2020
Date that the sample was received by the laboratory/organization performing the testing: 1/6/2021
The quantity of what the sample constitutes: One JMFPP Verification
A brief description of the sample: Boxes of HMA-A
From where was the sample collected: Manufacturer
Laboratory sample identification: D5 21-J-001
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Syar Todd Batch

Material Information

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

Test Information

DIME Test ID: 2020-12-15-19-2
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)
Date Tested: 1/18/2021
Verified Date: 1/22/2021
Submitted By Organization: CT D05 - Field Laboratory
Organization Address: 50 Higuera St,
Organization City: San Luis Obispo
Organization State: CA
Organization Zipcode: 93401
Organization Email:
Organization Phone: (559) 230-3109
General Comments for this Test:
Test Result Compliance: not applicable
Additional Comments When Verified :

Submitted Test Results

Bulk Specific Gravity: 2.363
Bulk Specific Gravity 2: 2.357
Bulk Specific Gravity 3: 2.363
Average Bulk Specific Gravity: 2.361