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Sample Record for 2020-08-12-17

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

Project Information

Project ID: 213764 DEA: 080F0304 EFIS: 0800020358 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-60-R0.7/R3.0
Work Description: REMOVE AND REPLACE THREE OVERCROSSING BRIDGES ON ROUTE 60
Location Description: IN SAN BERNARDINO COUNTY IN AND NEAR CHINO AT VARIOUS LOCATIONS FROM O.1 MILE WEST OF PIPELINE AVENUE OVERCROSSING TO 0.1 MILE EAST OF BENSON AVENUE OVERCROSSING
Contractor Name: SEMA CONSTRUCTION, INC.
Contractor Address: 42690 Rio Nedo, Suite G, Temecula, CA 92590
Resident Engineer: Joseph Lopez Structure Rep.: Rodrigo Santa Cruz

Sample Information

DIME Sample ID: 2020-08-12-17
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Sample Organization Contact: 9512323690
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 08/12/2020
Date that the sample was received by the laboratory/organization performing the testing: 08/13/2020
The quantity of what the sample constitutes: 2 box, 1 core
A brief description of the sample: 3/4 HMA-A-SP
From where was the sample collected: Manufacturer
Laboratory sample identification: 1-4A
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: RJ Noble Corona

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number:
Sublot number:
HMA Mix Number:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2020-08-12-17-1
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)
Verified Date: 08/27/2020
Date Tested: 08/14/2020
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Bulk Specific Gravity 2.426

Test 2 of 2

DIME Test ID: 2020-08-12-17-2
Test Method: AASHTO T209-12: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)
Verified Date: 08/27/2020
Date Tested: 08/18/2020
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Number of tests 1
What is the unit of measurement for theoretical density? US Units
Mass Determination Water
Specific Gravity for Sample 1 2.534
Theoretical maximum density at 25°C (77°F) no data