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Testing Report for 2021-09-01-43-1

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

Project Information

DEA: 081H4904
EFIS: 0817000059
Project ID: 215494
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-18-31.9/38.5
Work Description: COLD PLANE AC PAVEMENT AND OVERLAY WITH HMA (TYPE A).
Location Description: SAN BERNARDINO COUNTY FROM 0.1 MILE EAST OF HILLTOP CONNECTOR TO 0.5 MILE EAST OF SIBERIA CREEK TRAIL
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Nhan Nguyen
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-09-01-43
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: 9/1/2021
Date that the sample was received by the laboratory/organization performing the testing: 9/1/2021
The quantity of what the sample constitutes: 2 box, 3 cores
A brief description of the sample: HMA Type A R12 # LHP62-D
From where was the sample collected: Manufacturer
Laboratory sample identification: 32A, 32B, 32C
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Matich Lytle Creek

Material Information

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

Test Information

DIME Test ID: 2021-09-01-43-1
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)
Date Tested: 9/8/2021
Verified Date: 9/13/2021
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: kaushalkumar.talati@dot.ca.gov
Organization Phone: (951) 840-8328
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Bulk Specific Gravity: 2.275
Bulk Specific Gravity 2: 2.328
Bulk Specific Gravity 3: 2.292
Average Bulk Specific Gravity: 2.298