Sample Record for 2020-10-13-23
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 214885 DEA: 080K1234 EFIS: 0815000242
QA Service Level: 1
DIST-CO-RTE-PM: 08---
Work Description:
Location Description:
Contractor Name: SULLY-MILLER CONTRACTING COMPANY
Contractor Address: 135 S STATE COLLEGE BLVD #400, BREA CA 92821
Resident Engineer: Taghreed Al-Khateeb Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2020-10-13-23
TL Number from the TL Form: Blue Diamond
Sample Submitted By Organization: CT D08 - Hesperia Field Testing Laboratory
Sample Organization Contact: (951) 840-8242
Type of Sample: Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 10/13/2020
Date that the sample was received by the laboratory/organization performing the testing: 10/15/2020
The quantity of what the sample constitutes: 2 box, 3 cores
A brief description of the sample: Rte 15 SB Lan 2 (43-A,B,C)
From where was the sample collected: Job Site
Laboratory sample identification: 43-A, 43-B, 43-C
Structure unique identifier:
Structure name: I 15 N Sidewinder Rd
The fabricator/manufacturer/facility name: OHL, Sully Miller
Material Information
HMA Type: RHMA-G
HMA Grading: 3/4 inch
Lot number:
Sublot number:
HMA Mix Number:
Test Results
Test 1 of 2
DIME Test ID: 2020-10-13-23-1
Test Method: AASHTO T209-12: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)
Submitted By Organization: CT D08 - Hesperia Field Testing Laboratory
Organization Address: 15255 Bear Valley Road,
Organization City: Hesperia
Organization State: CA
Organization Zipcode: 92345
Organization Email: Julius.Esonwune@dot.ca.gov
Organization Phone: (951) 840-8242
This test has been superseded on 11/16/2020.
Reason: retested
Test 2 of 2
DIME Test ID: 2020-10-13-23-3
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: 01/12/2021
Date Tested: 10/22/2020
Submitted By Organization: CT D08 - Hesperia Field Testing Laboratory
Organization Address: 13970 Victoria Street,
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:
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Number of tests
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3
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What is the unit of measurement for theoretical density?
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US Units
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Mass Determination
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Air
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Specific Gravity for Sample 1
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97.000
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Specific Gravity for Sample 2
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94.700
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Specific Gravity for Sample 3
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96.400
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Average Specific Gravity
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96.000
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Theoretical maximum density at 25°C (77°F)
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no data
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