Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994226 DEA: 042K7004 EFIS: 0417000010 COOP: 042895
QA Service Level: 1
DIST-CO-RTE-PM: 04-ALA-880-R0.0/11.8
Work Description: Cold plane pavement and overlay with RHMA-G/RHMA-O (CAPITAL PREVENTIVE MAINTENANCE)
Location Description: ALAMEDA COUNTY IN FREMONT AND NEWARK FROM SANTA CLARA COUNTY LINE TO 0.4 MILE NORTH OF FREMONT BOULEVARD OVERCROSSING
Contractor Name: BAY CITIES PAVING & GRADING, INC.
Contractor Address: 1450 Civic Ct. BLDG B #400, Concord CA, 94520
Resident Engineer: Rodelio Baluyot Structure Rep.: Bettie C. "Betty" Geng
DIME Sample ID: 2025-05-07-127
TL Number from the TL Form: C317-050725-1
Sample Submitted By Organization: CT D04 - San Jose Construction Field Laboratory
Sample Organization Contact: (510) 385-8171
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 05/07/2025
Date that the sample was received by the laboratory/organization performing the testing: 05/08/2025
The quantity of what the sample constitutes: 1 to 750 Tons
A brief description of the sample: 1/2" RHMA-G WMA
From where was the sample collected: Manufacturer
Laboratory sample identification: SJ-050725-T209-L10SL2
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Pleasanton Drier Drum Plant
DIME Test ID: 2025-05-07-127-1
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: 08/09/2025
Date Tested: 05/08/2025
Submitted By Organization: CT D04 - San Jose Construction Field Laboratory
Organization Address: 1007 Knox Avenue,
Organization City: San Jose
Organization State: CA
Organization Zipcode: 95122
Organization Email: fernando.vega@dot.ca.gov
Organization Phone: (510) 385-8171
General Comments for this Test: Lot 10 - Sublot 2, MS-T209-A-B
Test Result Compliance: not applicable
Additional Comments When Verified:
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Number of Samples
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2
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What is the unit of measurement for theoretical density?
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SI Units
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Mass Determination
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Air
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Specific Gravity for Sample 1
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2.407
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Specific Gravity for Sample 2
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2.394
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Average Specific Gravity
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2.4
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Theoretical maximum density at 25°C (77°F)
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2393 kg/m^3
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