Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 213078 DEA: 081G6204 EFIS: 0816000031
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-10,86-Var
Work Description: COLD PLANE, RHMA-G OVERLAY, REPLACE PRECAST SLAB AND LOCALIZED DIG-OUT
Location Description: IN RIVERSIDE COUNTY AT VARIOUS LOCATIONS
Contractor Name: HAZARD CONSTRUCTION COMPANY
Contractor Address: 6465 Marindustry Dr., San Diego, CA 92121
Resident Engineer: Peter Koury Structure Rep.: Arvindkumar Patel
DIME Sample ID: 2019-02-13-9
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: 02/13/2019
Date that the sample was received by the laboratory/organization performing the testing: 02/14/2019
The quantity of what the sample constitutes: 4 boxes
A brief description of the sample: 3/4 RHMA-G PG64-16RB (1.0% Lime Slurry)
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CCA-Coachella
DIME Test ID: 2019-02-13-9-1
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: 02/20/2019
Date Tested: 02/18/2019
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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Method A
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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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7.25 %
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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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