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Sample Record for 2025-05-13-99

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

Project Information

Project ID: 995255 DEA: 041J9604 EFIS: 0414000403 QA Service Level: 1
DIST-CO-RTE-PM: 04-MRN-1-22.8/33.0,45.0/50.5
Work Description: COLD PLANE, RHMA, HMA, MGS, CURB RAMPS, SIDEWALKS, AND CULVERTS.
Location Description: MARIN COUNTY IN AND NEAR POINT REYES STATION FROM FIVE BROOKS TO 1.9 MILES NORTH OF CYPRESS ROAD AND IN AND NEAR TOMALES FROM 0.2 MILES SOUTH OF TOMALES TO 4.4 MILES NORTH OF TOMALES
Contractor Name: O.C. JONES & SONS, INC.
Contractor Address: Unknown
Resident Engineer: Andrew Wong Structure Rep.: Jeremy Light

Sample Information

DIME Sample ID: 2025-05-13-99
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - Richmond Field Laboratory
Sample Organization Contact: (510) 231-7151
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 05/13/2025
Date that the sample was received by the laboratory/organization performing the testing: 05/23/2025
The quantity of what the sample constitutes: 4 boxes
A brief description of the sample: Hot mix asphalt in boxes
From where was the sample collected: Job Site
Laboratory sample identification: Rich_25_308
Structure unique identifier:
Structure name: Roadway
The fabricator/manufacturer/facility name: Bodean - Santa Rosa

Material Information

HMA Type: RHMA-G
HMA Grading: 1/2 inch
Lot number: 1
Sublot number: 13
HMA Mix Number: 10600SPR
Binder content (%): 7.5
Virgin binder PG: PG 64-16
Design binder PG: PG 64-16
Binder Supplier: Valero (Benicia, CA)
RAP content (%):
WMA Additives: Yes
Antistrip type: AD-Here LOF 65-00 Cecabase
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2025-05-13-99-1
Test Method: AASHTO T209-22: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)
Verified Date: 07/22/2025
Date Tested: 05/23/2025
Submitted By Organization: CT D04 - Richmond Field Laboratory
Organization Address: 3401 Regatta Boulevard,
Organization City: Richmond
Organization State: CA
Organization Zipcode: 94508
Organization Email: santiago.sequeira@dot.ca.gov
Organization Phone: (510) 385-7641
General Comments for this Test: Lot 1 SL 13
Test Result Compliance: not applicable
Additional Comments When Verified:
Number of Samples 1
What is the unit of measurement for theoretical density? SI Units
Mass Determination Air
Specific Gravity for Sample 1 2.564
Theoretical maximum density at 25°C (77°F) 2556 kg/m^3

Test 2 of 2

DIME Test ID: 2025-05-13-99-2
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: 07/22/2025
Date Tested: 05/23/2025
Submitted By Organization: CT D04 - Richmond Field Laboratory
Organization Address: 3401 Regatta Boulevard,
Organization City: Richmond
Organization State: CA
Organization Zipcode: 94508
Organization Email: santiago.sequeira@dot.ca.gov
Organization Phone: (510) 385-7641
General Comments for this Test: Lot 1 SL 13
Test Result Compliance: not applicable
Additional Comments When Verified:
Bulk Specific Gravity 2.392
Bulk Specific Gravity 2 2.407
Bulk Specific Gravity 3 2.408
Average Bulk Specific Gravity 2.402