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Testing Report for 2020-01-30-17-1

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

Project Information

DEA: 051M2404
EFIS: 0519000085
Project ID: 214634
QA Service Level: 1
DIST-CO-RTE-PM: 05-SB-101-21.8/22.0
Work Description: Goleta Cross Slope Correction
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Kevin Murdock
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-01-30-17
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: 1/30/2020
Date that the sample was received by the laboratory/organization performing the testing: 1/31/2020
The quantity of what the sample constitutes: Verification Testing
A brief description of the sample: 12 x 20 lbs boxes
From where was the sample collected: Manufacturer
Laboratory sample identification: D5 20-J-001
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CalPortland Garey

Material Information

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

Test Information

DIME Test ID: 2020-01-30-17-1
Test Method: AASHTO T209-12: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)
Date Tested: 2/11/2020
Verified Date: 2/12/2020
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:
Additional Comments When Verified :

Submitted Test Results

Number of tests: 1
Mass Determination: Air
Method Performed: no data
Mass of container filled with water: 7403.0 grams
Mass of oven-dry sample in air for Sample 1: 2901.0 grams
Mass of container filled with the sample and water for Sample 1: 9089.0 grams
Temperature of Water: 76 °F
Specific Gravity for Sample 1: 2.386