Project Information

Project ID: 1001116 DEA: 033G4104 EFIS: 0324000125 QA Service Level: 1

DIST-CO-RTE-PM: 03-SUT-70-2.4/5.4

Work Description: NOTE! HM1 type contract, consultants may not charge! RHMA, HMA, AND COLD PLANE AC PAVEMENT.

Location Description: SUTTER COUNTY ABOUT 17 MILES SOUTH OF MARYSVILLE FROM 0.6 MILE SOUTH OF MARCUM ROAD OVERCROSSING TO 0.3 MILE NORTH OF CORNELIUS AVENUE OVERCROSSING

Contractor Name: A. TEICHERT & SON, INC. DBA TEICHERT CONSTRUCTION

Contractor Address: Unknown

Resident Engineer: Dustin Horse Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2025-08-18-42

TL Number from the TL Form: C955781

Sample Submitted By Organization: CT D03 - Olivehurst Northern Regional Laboratory

Sample Organization Contact: (530) 741-4238

Type of Sample: Quality Assurance

Type of Material: Hot Mix Asphalt

Sample Taken Date: 08/18/2025

Date that the sample was received by the laboratory/organization performing the testing: 08/20/2025

The quantity of what the sample constitutes: 2 Boxes

A brief description of the sample: Brad

From where was the sample collected: Source

Laboratory sample identification: Daily 25-150

Structure unique identifier:

Structure name:

The fabricator/manufacturer/facility name: Teichert Hallwood

Material Information

HMA Type: RHMA-G

HMA Grading: 1/2 inch

Lot number: 1

Sublot number: 5

HMA Mix Number: 30940542500V

Binder content (%): 7.5

Virgin binder PG: PG 64-16

Design binder PG: PG 64-16

Binder Supplier: Valero

RAP content (%): 0

WMA Additives:

Antistrip type:

Test Results

Test 1 of 2

DIME Test ID: 2025-08-18-42-1

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: 08/21/2025

Date Tested: 08/21/2025

Submitted By Organization: CT D03 - Olivehurst Northern Regional Laboratory

Organization Address: 5330 Arboga Road,

Organization City: Olivehurst

Organization State: CA

Organization Zipcode: 95961

Organization Email: jeff.herbert@dot.ca.gov

Organization Phone: (530) 741-4238

General Comments for this Test:

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	2.499
Theoretical maximum density at 25°C (77°F)	2 kg/m^3

Test 2 of 2

DIME Test ID: 2025-08-18-42-2

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)