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Sample Record for 2024-03-06-44

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

Project Information

Project ID: 993333 DEA: 04264724 EFIS: 0419000068 QA Service Level: 1
DIST-CO-RTE-PM: 04-MRN-101-R20.8/27.1
Work Description: CIP BRIDGES, CONSTRUCT ROADWAY, RETAINING WALLS AND MODIFY ELECTRICAL.
Location Description: MARIN COUNTY IN AND NEAR NOVATO FROM 0.1 MILE SOUTH OF FRANKLIN AVENUE OVERHEAD TO 0.5 MILE SOUTH OF SAN ANTONIO CREEK BRIDGE
Contractor Name: GHILOTTI CONSTRUCTION CO. INC. (RILEY GENAZZI & JOSH SERAFINO)
Contractor Address: 246 GHILOTTI AVE., SANTA ROSA, CA 95407
Resident Engineer: Fabio La Serna Structure Rep.: Jeremy Light

Sample Information

DIME Sample ID: 2024-03-06-44
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: 03/06/2024
Date that the sample was received by the laboratory/organization performing the testing: 03/07/2024
The quantity of what the sample constitutes: FOUR BOXES
A brief description of the sample: 3/4 HMA-SP Type A
From where was the sample collected: Manufacturer
Laboratory sample identification: PET-24-076
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Dutra San Rafael

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number: 9
Sublot number: 5
HMA Mix Number:
Binder content (%):
Virgin binder PG:
Design binder PG:
Binder Supplier:
RAP content (%):
WMA Additives:
Antistrip type:

Test Results

Test 1 of 3

DIME Test ID: 2024-03-06-44-1
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: 11/20/2024
Date Tested: 03/07/2024
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 no data
Mass of container filled with water 1 7388.5 grams
Mass of oven-dry sample in air for Sample 1 2554.4 grams
Mass of container filled with the sample and water for Sample 1 8903.3 grams
Temperature of Water 77 °F
Specific Gravity for Sample 1 2.457
Theoretical maximum density at 25°C (77°F) 2450 kg/m^3

Test 2 of 3

DIME Test ID: 2024-03-06-44-2
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: 11/20/2024
Date Tested: 03/08/2024
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:
Bulk Specific Gravity 2.321
Bulk Specific Gravity 2 2.333
Bulk Specific Gravity 3 2.378
Average Bulk Specific Gravity 2.344

Test 3 of 3

DIME Test ID: 2024-03-06-44-3
Test Method: AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)
Verified Date: 11/20/2024
Date Tested: 03/08/2024
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:
Percent Air Voids 5.5 %
Percent Air Voids 2 5 %
Percent Air Voids 3 3.2 %
Average Percent Air Voids 4.6 %
Average Core Density 95.4 %