Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 215756 DEA: 074W9304 EFIS: 0720000195
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-105-R0.0/R12.9
Work Description: APPLY SLURRY SEAL TO ROADWAY.
Location Description: LOS ANGELES COUNTY IN EL SEGUNDO AND LYNWOOD FROM CALIFORNIA STREET TO ATLANTIC AVENUE UNDERCROSSING
Contractor Name: CALMEX ENGINEERING, INC.
Contractor Address: 2764 S Vista Ave, Bloomington, CA 92316
Resident Engineer: Jose Ferrer Structure Rep.: Unknown
DIME Sample ID: 2021-09-09-20
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 09/09/2021
Date that the sample was received by the laboratory/organization performing the testing: 09/13/2021
The quantity of what the sample constitutes: 2 Boxes HMA 114.91 tons out
A brief description of the sample: 1/2" HMA-A-SP R15 0.5% LAS
From where was the sample collected: Manufacturer
Laboratory sample identification: 0525A-21
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Irwindale
DIME Test ID: 2021-09-09-20-1
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: 09/15/2021
Date Tested: 09/14/2021
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: 9098293029
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
What temperature unit is used?
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Fahrenheit
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Test procedure used?
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no data
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Mass of HMA Sample prior to ignition
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no data
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Corrected Asphalt Binder Content
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5.16 %
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Mass Loss
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no data
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Correction Factor (Percent by mass of HMA Specimen)
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no data
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Moisture Content
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no data
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Temperature Compensation Factor
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no data
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Test Temperature
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no data
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