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Sample Record for 2025-06-13-54

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

Project Information

Project ID: 1001159 DEA: 043X2804 EFIS: 0425000226 QA Service Level: 1
DIST-CO-RTE-PM: 04-NAP-121-
Work Description: Apply traffic control systems, perform digout, install earth retaining structures
Location Description:
Contractor Name: VALENTINE CORPORATION
Contractor Address: 111 PELICAN WAY, SAN RAFAEL, CA 94901
Resident Engineer: Paramdeep Brar Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2025-06-13-54
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - Concord Field Laboratory
Sample Organization Contact: (510) 714-7019
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 06/13/2025
Date that the sample was received by the laboratory/organization performing the testing: 06/19/2025
The quantity of what the sample constitutes: 100Tons
A brief description of the sample: 3/4"HMA25Rap-WMA
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Napa

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number:
Sublot number:
HMA Mix Number:
Binder content (%): 0.0
Virgin binder PG:
Design binder PG:
Binder Supplier:
RAP content (%):
WMA Additives:
Antistrip type:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2025-06-13-54-1
Test Method: AASHTO T209-22: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)
Submitted By Organization: CT D04 - Concord Field Laboratory
Organization Address: 2525 Stanwell Drive, Suite 100,
Organization City: Concord
Organization State: CA
Organization Zipcode: 94520
Organization Email: gurind.joshi@dot.ca.gov
Organization Phone: (510) 714-7019
Data has not been verified.

Test 2 of 2

DIME Test ID: 2025-06-13-54-2
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)
Submitted By Organization: CT D04 - Concord Field Laboratory
Organization Address: 2525 Stanwell Drive, Suite 100,
Organization City: Concord
Organization State: CA
Organization Zipcode: 94520
Organization Email: gurind.joshi@dot.ca.gov
Organization Phone: (510) 714-7019
Data has not been verified.