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Sample Record for 2025-05-20-105

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

Project Information

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

Sample Information

DIME Sample ID: 2025-05-20-105
TL Number from the TL Form:
Sample Submitted By Organization: CT D03 - Rocklin Construction Field Office
Sample Organization Contact: 530-330-2727
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 05/20/2025
Date that the sample was received by the laboratory/organization performing the testing: 05/22/2025
The quantity of what the sample constitutes: 750 Tons
A brief description of the sample: 3/4" RHMA-G_SP
From where was the sample collected: Manufacturer
Laboratory sample identification: L1 SL3
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Teichert Perkins Drum Plant

Material Information

HMA Type: RHMA-G
HMA Grading: 3/4 inch
Lot number: 1
Sublot number: 3
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): 1

Test Results

Test 1 of 1

DIME Test ID: 2025-05-20-105-3
Test Method: AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)
Verified Date: 07/03/2025
Date Tested: 05/30/2025
Submitted By Organization: CT D03 - Rocklin Construction Field Office
Organization Address: 2520 Warren Drive, Suite A,
Organization City: Rocklin
Organization State: CA
Organization Zipcode: 95677
Organization Email: david.drane@dot.ca.gov
Organization Phone: (530) 330-2727
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Percent Air Voids 5.4 %
Percent Air Voids 2 7.9 %
Percent Air Voids 3 6.8 %
Average Percent Air Voids 6.7 %
Average Core Density 93.5 %