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Sample Record for 2024-10-26-19

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

Project Information

Project ID: 995202 DEA: 033H6104 EFIS: 0318000019 QA Service Level: 1
DIST-CO-RTE-PM: 03-PLA-80-42.7/49.3
Work Description: RDWY EXC, HMA, JPCP, ALT PIPELINER, STEEL SOLDIER PILE, MOD LTG SYSTEM
Location Description: PLACER COUNTY ABOUT 9.4 MILES NORTH OF COLFAX FROM 0.5 MILE WEST OF MONTE VISTA OVERCROSSING TO 0.3 MILE EAST OF DRUM FOREBAY OVERCROSSING
Contractor Name: DESILVA GATES CONSTRUCTION, LLC
Contractor Address: 11555 Dublin Blvd, Dublin, CA 94568
Resident Engineer: Tad Sampson Structure Rep.: Jimmer Ross

Sample Information

DIME Sample ID: 2024-10-26-19
TL Number from the TL Form:
Sample Submitted By Organization: Blackburn Consulting
Sample Organization Contact: (916) 375-8706
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 10/26/2024
Date that the sample was received by the laboratory/organization performing the testing: 10/27/2024
The quantity of what the sample constitutes: 2 Boxes
A brief description of the sample: 3/4" HMA-SP w 25% RAP, PG 58-22
From where was the sample collected: Source
Laboratory sample identification: 4598
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: DeSilva Gates Marysville

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number: 2
Sublot number: 1
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): 1

Test Results

Test 1 of 1

DIME Test ID: 2024-10-26-19-1
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: 01/16/2025
Date Tested: 11/21/2024
Submitted By Organization: CT D03 - Olivehurst Northern Regional Laboratory
Organization Address: 5330 Arboga Road,
Organization City: Olivehurst
Organization State: CA
Organization Zipcode: 95961
Organization Email: jeff.herbert@dot.ca.gov
Organization Phone: (530) 741-4238
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? SI Units
Mass Determination Air
Method Performed Mechanical Agitation - Method A
Mass of container filled with water 7400.3 grams
Mass of oven-dry sample in air for Sample 1 2545 grams
Mass of container filled with the sample and water for Sample 1 8962.7 grams
Temperature of Water 25 °F
Specific Gravity for Sample 1 2.59
Theoretical maximum density at 25°C (77°F) 2582.5 kg/m^3