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Sample Record for 2025-04-24-53

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Project Information

Project ID: 1000004 DEA: 033H5604 EFIS: 0318000014 QA Service Level: 1
DIST-CO-RTE-PM: 03-PLA,NEV-20,80-VAR
Work Description: STRUCTURAL CONC, BAR REINFORCING STEEL, BRIDGE REMOVAL, HMA, AND JPCP.
Location Description: PLACER AND NEVADA COUNTIES NEAR CISCO GROVE ON ROUTE 80 FROM 0.4 MILE WEST OF LAKE VALLEY OVERCROSSING TO 0.9 MILE EAST OF YUBA PASS SEPARATION AND OVERHEAD AND ON ROUTE 20 AT YUBA PASS SEPARATION AND OVERHEAD
Contractor Name: FLATIRON WEST INC.
Contractor Address: 1200 Concord Ave Suite 465, Concord, CA 94520
Resident Engineer: Tad Sampson Structure Rep.: James 'Jimmer' Ross

Sample Information

DIME Sample ID: 2025-04-24-53
TL Number from the TL Form:
Sample Submitted By Organization: CT D03 - Olivehurst Northern Regional Laboratory
Sample Organization Contact: (530) 741-4238
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 04/24/2025
Date that the sample was received by the laboratory/organization performing the testing: 05/01/2025
The quantity of what the sample constitutes: 3/4" HMA w/ 15% RAP
A brief description of the sample: 2 Boxes
From where was the sample collected: Source
Laboratory sample identification: Daily 25-036
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Teichert Hallwood

Material Information

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

Test Results

Test 1 of 3

DIME Test ID: 2025-04-24-53-1
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: 05/07/2025
Date Tested: 05/06/2025
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: R1 OBC 4.7%
Test Result Compliance: does not comply
Additional Comments When Verified:
What temperature unit is used? Celsius
Test procedure used? Method A
Mass of HMA Sample prior to ignition 2117.4 g
Corrected Asphalt Binder Content 5.42 %
Mass Loss 125.6 g
Correction Factor (Percent by mass of HMA Specimen) 0.51 %
Moisture Content no data0 %
Temperature Compensation Factor 0.02 %
Test Temperature 538 C

Test 2 of 3

DIME Test ID: 2025-04-24-53-2
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: 05/07/2025
Date Tested: 05/06/2025
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: L1 OBC 4.7%
Test Result Compliance: does not comply
Additional Comments When Verified:
What temperature unit is used? Celsius
Test procedure used? Method A
Mass of HMA Sample prior to ignition 2239.9 g
Corrected Asphalt Binder Content 5.35 %
Mass Loss 132.6 g
Correction Factor (Percent by mass of HMA Specimen) 0.51 %
Moisture Content no data0 %
Temperature Compensation Factor 0.02 %
Test Temperature 538 C

Test 3 of 3

DIME Test ID: 2025-04-24-53-3
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: 05/07/2025
Date Tested: 05/06/2025
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: not applicable
Additional Comments When Verified:
Number of Samples 1
What is the unit of measurement for theoretical density? SI Units
Mass Determination Air
Specific Gravity for Sample 1 2.563
Theoretical maximum density at 25°C (77°F) 3 kg/m^3