Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994346 DEA: 033F23U4 EFIS: 0322000243
QA Service Level: 1
DIST-CO-RTE-PM: 03-PLA-80-0.1/2.2,4.9/6.0
Work Description: ROADWAY EXCAVATION, PLACE CL2-AB, HMA, STRUCTURAL CONCRETE & RCP.
Location Description: PLACER COUNTY IN ROSEVILLE FROM 0.1 MILE WEST OF RIVERSIDE AVENUE OVERCROSSING TO 0.3 MILE EAST OF DOUGLAS BOULEVARD OVERCROSSING AND IN ROCKLIN FROM 1.1 MILE WEST OF ROCKLIN ROAD UNDERCROSSING TO ROCKLIN ROAD UNDERCROSSING
Contractor Name: GHILOTTI CONSTRUCTION COMPANY, INC.
Contractor Address: 246 GHILOTTI AVE., SANTA ROSA, CA 95407
Resident Engineer: Martin Clark Structure Rep.: Carl Anderson
DIME Sample ID: 2025-06-02-37
TL Number from the TL Form: C765569
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: 06/02/2025
Date that the sample was received by the laboratory/organization performing the testing: 06/05/2025
The quantity of what the sample constitutes: 1/2" RHMA-O
A brief description of the sample: 4 Boxes
From where was the sample collected: Source
Laboratory sample identification: Daily 25-066
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Teichert Perkins
DIME Test ID: 2025-06-02-37-1
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: 06/06/2025
Date Tested: 06/06/2025
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 7.4%
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 HMA Sample prior to ignition
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1679.6 g
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Corrected Asphalt Binder Content
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7.2 %
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Mass Loss
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126.5 g
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Correction Factor (Percent by mass of HMA Specimen)
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0.33 %
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Moisture Content
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no data0 %
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Temperature Compensation Factor
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0.02 %
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Test Temperature
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538 C
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