Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000314 DEA: 042Y5804 EFIS: 0423000130
QA Service Level: 1
DIST-CO-RTE-PM: 04-SON-1-30.5/32.0
Work Description: COLD PLANE ASPHALT CONCRETE PAVEMENT AND OVERLAY WITH HMA.
Location Description: SONOMA COUNTY AT FORT ROSS FROM 2.5 MILES SOUTH OF FORT ROSS ROAD TO 1.0 MILE SOUTH OF FORT ROSS ROAD
Contractor Name: O.C. JONES & SONS, INC.
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown
DIME Sample ID: 2025-03-23-6
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - Petaluma Field Laboratory
Sample Organization Contact: 510-385-7413
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 03/23/2025
Date that the sample was received by the laboratory/organization performing the testing: 03/24/2025
The quantity of what the sample constitutes: 750 tons
A brief description of the sample: 3/4" HMA-WMA
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: BoDean
DIME Test ID: 2025-03-23-6-1
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: 07/01/2025
Date Tested: 03/27/2025
Submitted By Organization: CT D04 - Petaluma Field Laboratory
Organization Address: 3401 Regatta Blvd.,
Organization City: Richmond
Organization State: CA
Organization Zipcode: 94804
Organization Email: ignacio.arechiga@dot.ca.gov
Organization Phone: (510) 385-7413
General Comments for this Test:
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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3083.9 g
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Corrected Asphalt Binder Content
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4.6 %
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Mass Loss
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116.2 g
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Correction Factor (Percent by mass of HMA Specimen)
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1.01 %
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Moisture Content
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no data0 %
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Temperature Compensation Factor
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0.15 %
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Test Temperature
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482 C
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DIME Test ID: 2025-03-23-6-2
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: 07/01/2025
Date Tested: 03/27/2025
Submitted By Organization: CT D04 - Petaluma Field Laboratory
Organization Address: 3401 Regatta Blvd.,
Organization City: Richmond
Organization State: CA
Organization Zipcode: 94804
Organization Email: ignacio.arechiga@dot.ca.gov
Organization Phone: (510) 385-7413
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
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Bulk Specific Gravity
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2.43
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DIME Test ID: 2025-03-23-6-3
Test Method: AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)
Verified Date: 07/01/2025
Date Tested: 03/27/2025
Submitted By Organization: CT D04 - Petaluma Field Laboratory
Organization Address: 3401 Regatta Blvd.,
Organization City: Richmond
Organization State: CA
Organization Zipcode: 94804
Organization Email: ignacio.arechiga@dot.ca.gov
Organization Phone: (510) 385-7413
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified: