Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 995221 DEA: 024H0004 EFIS: 0218000067
QA Service Level: 1
DIST-CO-RTE-PM: 02-SIS-97,161-45.0/54.1,0.0/0.8
Work Description: HOT MIX ASPHALT, PAVEMENT DELINEATION, & ELECTRICAL WORK.
Location Description: SISKIYOU COUNTY IN AND NEAR DORRIS ON ROUTE 97 FROM 0.3 MILE SOUTH OF SAMS NECK ROAD TO OREGON STATE LINE AND ON ROUTE 161 FROM ROUTE 97 TO 0.6 MILE EAST OF INDIAN TOM LAKE ROAD
Contractor Name: ROCKY MOUNTAIN CONSTRUCTION
Contractor Address: Unknown
Resident Engineer: Austin Henry Structure Rep.: Nicolas Jimenez
DIME Sample ID: 2024-09-24-103
TL Number from the TL Form: 823621
Sample Submitted By Organization: CT D02 - Redding Northern Regional Laboratory
Sample Organization Contact: (530) 225-3194
Type of Sample: Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 09/24/2024
Date that the sample was received by the laboratory/organization performing the testing: 10/01/2024
The quantity of what the sample constitutes: 8 Boxes
A brief description of the sample: 1/2" HMA-A w/15% RAP PG64-28 Albina
From where was the sample collected: Manufacturer
Laboratory sample identification: D79732
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Rocky Mnt Const.
DIME Test ID: 2024-09-24-103-1
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: 10/10/2024
Date Tested: 10/02/2024
Submitted By Organization: CT D02 - Redding Northern Regional Laboratory
Organization Address: 1657 Riverside Drive,
Organization City: Redding
Organization State: CA
Organization Zipcode: 96001
Organization Email: ward.jenkins@dot.ca.gov
Organization Phone: 530-225-3194
General Comments for this Test: Gmm=2.452
Test Result Compliance: not applicable
Additional Comments When Verified:
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Number of tests
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1
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What is the unit of measurement for theoretical density?
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SI Units
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Mass Determination
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Air
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Method Performed
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Mechanical Agitation - Method A
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Mass of container filled with water
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7332.3 grams
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Mass of oven-dry sample in air for Sample 1
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1552.1 grams
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Mass of container filled with the sample and water for Sample 1
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8251.3 grams
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Temperature of Water
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76 °F
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Specific Gravity for Sample 1
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2.452
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Theoretical maximum density at 25°C (77°F)
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2444.9 kg/m^3
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DIME Test ID: 2024-09-24-103-2
Test Method: AASHTO T283-14: Standard Method of Test for Resistance of Compacted Asphalt Mixtures to Moisture-Induced Damage (Moisture Content)
Verified Date: 10/10/2024
Date Tested: 10/10/2024
Submitted By Organization: CT D02 - Redding Northern Regional Laboratory
Organization Address: 1657 Riverside Drive,
Organization City: Redding
Organization State: CA
Organization Zipcode: 96001
Organization Email: ward.jenkins@dot.ca.gov
Organization Phone: 530-225-3194
General Comments for this Test: S1=118 psi, S2=113 psi, TSR=95%
Test Result Compliance: complies
Additional Comments When Verified:
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Unit system used?
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SI Units
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Average Dry Tensile Strength
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118 psi
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Average Wet Tensile Strength
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113 psi
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Tensile Strength Ratio
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0.96
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