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Sample Record for 2025-09-17-27

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Project Information

Project ID: 1000682 DEA: 09379104 EFIS: 0919000005 QA Service Level: 1
DIST-CO-RTE-PM: 09-INY-395-91.6/100.8
Work Description: CONSTRUCT HMA, CURB RAMPS, AND ELECTRICAL SYSTEMS.
Location Description: INYO COUNTY AT AND NEAR BIG PINE FROM 0.1 MILE SOUTH OF ELNA ROAD TO SOUTH JUNCTION ROUTE 168
Contractor Name: ROAD AND HIGHWAY BUILDERS, LLC.
Contractor Address: P.O. Box 70846, Reno, N V, 89570
Resident Engineer: Adam Zumstein Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2025-09-17-27
TL Number from the TL Form:
Sample Submitted By Organization: CT D09 - Bishop Field Laboratory
Sample Organization Contact: (760) 872-5211
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 09/17/2025
Date that the sample was received by the laboratory/organization performing the testing: 09/16/2025
The quantity of what the sample constitutes: Up to 750 Tons
A brief description of the sample: HMA121
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: RHB Plant Independence

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number: 1
Sublot number: 121
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): 3

Test Results

Test 1 of 3

DIME Test ID: 2025-09-17-27-1
Test Method: AASHTO T209-12: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)
Verified Date: 09/19/2025
Date Tested: 09/18/2025
Submitted By Organization: CT D09 - Bishop Field Laboratory
Organization Address: 500 South Main Street,
Organization City: Bishop
Organization State: CA
Organization Zipcode: 93514
Organization Email: chris.talbot@dot.ca.gov
Organization Phone: (760) 872-0794
General Comments for this Test: HMA-121
Test Result Compliance: complies
Additional Comments When Verified:
Number of tests 1
What is the unit of measurement for theoretical density? US Units
Mass Determination Air
Method Performed Mechanical Agitation - Method A
Mass of container filled with water 7310.5 grams
Mass of oven-dry sample in air for Sample 1 2126.5 grams
Mass of container filled with the sample and water for Sample 1 8580.9 grams
Temperature of Water 77 °F
Specific Gravity for Sample 1 2.484
Theoretical maximum density at 25°C (77°F) 154.6 lb/ft^3

Test 2 of 3

DIME Test ID: 2025-09-17-27-2
Test Method: AASHTO T30-19: Standard Method of Test for Mechanical Analysis of Extracted Aggregate (Mechanical Analysis)
Verified Date: 09/19/2025
Date Tested: 09/18/2025
Submitted By Organization: CT D09 - Bishop Field Laboratory
Organization Address: 500 South Main Street,
Organization City: Bishop
Organization State: CA
Organization Zipcode: 93514
Organization Email: chris.talbot@dot.ca.gov
Organization Phone: (760) 872-0794
General Comments for this Test: HMA-121 PP Gradation
Test Result Compliance: complies
Additional Comments When Verified:
Is an aggregate correction factor used? Yes
Aggregate correction factor for the 2 in. sieve (% passing) no data0 %
Aggregate correction factor for the 1 1/2 in. sieve (% passing) no data0 %
Aggregate correction factor for the 1 in. sieve (% passing) no data0 %
Aggregate correction factor for the 3/4 in. sieve (% passing) no data0 %
Aggregate correction factor for the 1/2 in. sieve (% passing) no data0 %
Aggregate correction factor for the 3/8 in. sieve (% passing) no data0 %
Aggregate correction factor for the #4 sieve (% passing) no data0 %
Aggregate correction factor for the #8 sieve (% passing) no data0 %
Aggregate correction factor for the #16 sieve (% passing) 0.3 %
Aggregate correction factor for the #30 sieve (% passing) 0.3 %
Aggregate correction factor for the #50 sieve (% passing) 0.5 %
Aggregate correction factor for the #100 sieve (% passing) 0.5 %
Aggregate correction factor for the #200 sieve (% passing) 1.1 %
Cumulative percent passing the 2 in. sieve 100 %
Cumulative percent passing the 1 1/2 in. sieve 100 %
Cumulative percent passing the 1 in. sieve 100 %
Cumulative percent passing the 3/4 in. sieve 99 %
Cumulative percent passing the 1/2 in. sieve 85 %
Cumulative percent passing the 3/8 in. sieve 75 %
Cumulative percent passing the #4 sieve 49 %
Cumulative percent passing the #8 sieve 36 %
Cumulative percent passing the #16 sieve 24 %
Cumulative percent passing the #30 sieve 18 %
Cumulative percent passing the #50 sieve 11 %
Cumulative percent passing the #100 sieve 7 %
Cumulative percent passing the #200 sieve 4.9 %

Test 3 of 3

DIME Test ID: 2025-09-17-27-3
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)
Verified Date: 09/19/2025
Date Tested: 09/18/2025
Submitted By Organization: CT D09 - Bishop Field Laboratory
Organization Address: 500 South Main Street,
Organization City: Bishop
Organization State: CA
Organization Zipcode: 93514
Organization Email: chris.talbot@dot.ca.gov
Organization Phone: (760) 872-0794
General Comments for this Test: HMA-121
Test Result Compliance: complies
Additional Comments When Verified:
What temperature unit is used? Celsius
Test procedure used? Method A
Mass of the specimen basket assembly 4249.5 g
Mass of the specimen and specimen basket assembly prior to ignition 6435.5 g
Mass of HMA Sample prior to ignition 2186 g
Corrected Asphalt Binder Content 4.87 %
Mass Loss 115.2 g
Mass of aggregate remaining after ignition 2070.8 g
Correction Factor (Percent by mass of HMA Specimen) 0.4 %
Moisture Content no data0 %
Temperature Compensation Factor no data0 %
Test Temperature 538 C