Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994785 DEA: 023H32U4 EFIS: 0221000164
QA Service Level: 1
DIST-CO-RTE-PM: 02-SIS-I5-2.5/R15.9
Work Description: Roadway rehabilitation and bridge improvements along I5 in Mount Shasta
Location Description: SIS I5 2.5/R15.9
Contractor Name: Gordon Stout - Walsh/Myers
Contractor Address: 1390 Willow Pass Rd Suite 950, Concord, CA 94520
Resident Engineer: Austin Henry Structure Rep.: Mike Sears
DIME Sample ID: 2025-05-09-54
TL Number from the TL Form: 823567
Sample Submitted By Organization: CT D02 - Redding Northern Regional Laboratory
Sample Organization Contact: (530) 225-3194
Type of Sample: Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 05/09/2025
Date that the sample was received by the laboratory/organization performing the testing: 05/09/2025
The quantity of what the sample constitutes: 150 tons
A brief description of the sample: 1 box of Lime Treated 3/4-inch Type A HMA (eq. PG 64-28 M)
From where was the sample collected: Manufacturer
Laboratory sample identification: D79871
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Tullis — Northstate Asphalt (Redding, CA)
DIME Test ID: 2025-05-09-54-1
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: 05/29/2025
Date Tested: 05/09/2025
Submitted By Organization: CT D02 - Redding Northern Regional Laboratory
Organization Address: 1657 Riverside Drive,
Organization City: Redding
Organization State: CA
Organization Zipcode: 96001
Organization Email: ward.jenkins@dot.ca.gov
Organization Phone: 530-225-3194
General Comments for this Test: Pb=4.89%
Test Result Compliance: complies
Additional Comments When Verified:
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What temperature unit is used?
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Celsius
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Test procedure used?
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Method A
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Mass of the specimen basket assembly
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3026.5 g
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Mass of the specimen and specimen basket assembly prior to ignition
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5121.6 g
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Mass of HMA Sample prior to ignition
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2095.1 g
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Corrected Asphalt Binder Content
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4.89 %
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Mass Loss
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121.9 g
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Mass of aggregate remaining after ignition
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1973.2 g
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Correction Factor (Percent by mass of HMA Specimen)
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0.79 %
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Moisture Content
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no data0 %
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Temperature Compensation Factor
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0.14 %
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Test Temperature
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538 C
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