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Sample Record for 2024-10-15-74

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

Project Information

Project ID: 993424 DEA: 04281204 EFIS: 0400000769 QA Service Level: 1
DIST-CO-RTE-PM: 04-NAP-29,221-5.5/6.7,0.0/0.2
Work Description: HMA, RDWY EXCAVATION, STRUCTURAL CONC AND MODIFYING LIGHTING SYSTEMS.
Location Description: NAPA COUNTY NEAR NAPA ON ROUTE 29 FROM 0.7 MILE SOUTH TO 0.5 MILE NORTH OF ROUTE 221 AND ON ROUTE 221 FROM 0.2 MILE NORTH OF ROUTE 29 TO ROUTE 29
Contractor Name: Ghilloti Construction Co.
Contractor Address: 246 Ghilloti Ave, Santa Rosa CA 95407
Resident Engineer: Darren Isada Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2024-10-15-74
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - Petaluma Field Laboratory
Sample Organization Contact: (510) 385-6841
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 10/15/2024
Date that the sample was received by the laboratory/organization performing the testing: 10/16/2024
The quantity of what the sample constitutes: 4 boxes
A brief description of the sample: 1/2 RHMA-G
From where was the sample collected: Manufacturer
Laboratory sample identification: PET-24-554
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: BoDean

Material Information

HMA Type: RHMA-G
HMA Grading: 1/2 inch
Lot number: 1
Sublot number: 7
HMA Mix Number:
Binder content (%):
Virgin binder PG:
Design binder PG:
Binder Supplier:
RAP content (%):
WMA Additives:
Antistrip type:
Test results on following page(s): 4

Test Results

Test 1 of 4

DIME Test ID: 2024-10-15-74-1
Test Method: AASHTO T209-22: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)
Verified Date: 11/13/2024
Date Tested: 11/05/2024
Submitted By Organization: CT D04 - Petaluma Field Laboratory
Organization Address: 5675 Gibraltar Drive,
Organization City: Pleasanton
Organization State: CA
Organization Zipcode: 94588
Organization Email: glenn.cea@dot.ca.gov
Organization Phone: (510) 385-6841
General Comments for this Test:
Test Result Compliance: not applicable
Additional Comments When Verified:
Number of Samples 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 1 7388.5 grams
Mass of oven-dry sample in air for Sample 1 2054.7 grams
Mass of container filled with the sample and water for Sample 1 8595.3 grams
Temperature of Water 77 °F
Specific Gravity for Sample 1 2.423
Theoretical maximum density at 25°C (77°F) 2416 kg/m^3

Test 2 of 4

DIME Test ID: 2024-10-15-74-2
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: 11/13/2024
Date Tested: 10/17/2024
Submitted By Organization: CT D04 - Petaluma Field Laboratory
Organization Address: 5675 Gibraltar Drive,
Organization City: Pleasanton
Organization State: CA
Organization Zipcode: 94588
Organization Email: glenn.cea@dot.ca.gov
Organization Phone: (510) 385-6841
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 3080 g
Mass of the specimen and specimen basket assembly prior to ignition 4602.7 g
Mass of HMA Sample prior to ignition 1522.7 g
Corrected Asphalt Binder Content 7.71 %
Mass Loss 127.5 g
Mass of aggregate remaining after ignition 1395.2 g
Correction Factor (Percent by mass of HMA Specimen) 0.46 %
Moisture Content no data0 %
Temperature Compensation Factor 0.2 %
Test Temperature 482 C

Test 3 of 4

DIME Test ID: 2024-10-15-74-3
Test Method: AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)
Verified Date: 11/19/2024
Date Tested: 10/21/2024
Submitted By Organization: CT D04 - Concord Field Laboratory
Organization Address: 2525 Stanwell Drive, Suite 100,
Organization City: Concord
Organization State: CA
Organization Zipcode: 94520
Organization Email: gurind.joshi@dot.ca.gov
Organization Phone: (510) 714-7019
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Percent Air Voids 96 %
Percent Air Voids 2 96.5 %
Average Percent Air Voids 96.3 %
Average Core Density 2.3 %

Test 4 of 4

DIME Test ID: 2024-10-15-74-4
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: 11/19/2024
Date Tested: 10/21/2024
Submitted By Organization: CT D04 - Concord Field Laboratory
Organization Address: 2525 Stanwell Drive, Suite 100,
Organization City: Concord
Organization State: CA
Organization Zipcode: 94520
Organization Email: gurind.joshi@dot.ca.gov
Organization Phone: (510) 714-7019
General Comments for this Test:
Test Result Compliance: not applicable
Additional Comments When Verified:
Bulk Specific Gravity 2.327
Bulk Specific Gravity 2 2.34
Average Bulk Specific Gravity 2.333