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Sample Record for 2024-10-17-24

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

Project Information

Project ID: 1000649 DEA: 061H3404 EFIS: 0625000042 QA Service Level: 1
DIST-CO-RTE-PM: 06-TUL-99-23.49
Work Description: BRIDGE REPAIR FOR BR #46 0192
Location Description: Tulare County along NB SR 99 at Avenue 184 OC, Bridge #46 0192.
Contractor Name: Yarbs Grading and Paving, Inc.
Contractor Address: P.O.Box 87 Fowler, CA 93625
Resident Engineer: Amir Zamanian Structure Rep.: Luis Guzman

Sample Information

DIME Sample ID: 2024-10-17-24
TL Number from the TL Form:
Sample Submitted By Organization: CT D06 - Visalia Field Laboratory
Sample Organization Contact: (559) 974-1304
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 10/17/2024
Date that the sample was received by the laboratory/organization performing the testing: 10/17/2024
The quantity of what the sample constitutes: 10 Boxes 2 Bags 4 Cans
A brief description of the sample: HMA Type A
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Porterville Rock and Recycle

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number: 1
Sublot number: 3
HMA Mix Number: 23J018
Binder content (%):
Virgin binder PG:
Design binder PG:
Binder Supplier:
RAP content (%):
WMA Additives:
Antistrip type:
Test results on following page(s): 3

Test Results

Test 1 of 3

DIME Test ID: 2024-10-17-24-1
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: 10/18/2024
Date Tested: 10/18/2024
Submitted By Organization: CT D06 - Visalia Field Laboratory
Organization Address: 8530 W Roosevelt Ave,
Organization City: Visalia
Organization State: CA
Organization Zipcode: 93291
Organization Email: paul.klinker@dot.ca.gov
Organization Phone: (559) 974-1304
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
What temperature unit is used? Celsius
Test procedure used? Method A
Mass of the specimen basket assembly 2923.6 g
Mass of the specimen and specimen basket assembly prior to ignition 4971.2 g
Mass of HMA Sample prior to ignition 2047.6 g
Corrected Asphalt Binder Content 4.68 %
Mass Loss 104.6 g
Mass of aggregate remaining after ignition 1943 g
Correction Factor (Percent by mass of HMA Specimen) 0.28 %
Moisture Content no data0 %
Temperature Compensation Factor 0.15 %
Test Temperature 538 C

Test 2 of 3

DIME Test ID: 2024-10-17-24-2
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: 10/22/2024
Date Tested: 10/22/2024
Submitted By Organization: CT D06 - Visalia Field Laboratory
Organization Address: 8530 W Roosevelt Ave,
Organization City: Visalia
Organization State: CA
Organization Zipcode: 93291
Organization Email: paul.klinker@dot.ca.gov
Organization Phone: (559) 974-1304
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.54
Bulk Specific Gravity 2 2.466
Average Bulk Specific Gravity 2.503

Test 3 of 3

DIME Test ID: 2024-10-17-24-3
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: 10/22/2024
Date Tested: 10/21/2024
Submitted By Organization: CT D06 - Visalia Field Laboratory
Organization Address: 8530 W Roosevelt Ave,
Organization City: Visalia
Organization State: CA
Organization Zipcode: 93291
Organization Email: paul.klinker@dot.ca.gov
Organization Phone: (559) 974-1304
General Comments for this Test:
Test Result Compliance: not applicable
Additional Comments When Verified:
Number of tests 1
What is the unit of measurement for theoretical density? SI Units
Mass Determination Air
Method Performed Mechanical Agitation - Method A
Mass of container filled with water 7318.7 grams
Mass of oven-dry sample in air for Sample 1 2514.3 grams
Mass of container filled with the sample and water for Sample 1 8898.3 grams
Temperature of Water 77 °F
Specific Gravity for Sample 1 2.69
Theoretical maximum density at 25°C (77°F) 2682.2 kg/m^3