Project Information

Project ID: 1001063 DEA: 033G3804 EFIS: 0324000122 QA Service Level: 1

DIST-CO-RTE-PM: 03-BUT-32-R23.9/30.8,31.0/31.6

Work Description: HMA OVERLAY, COLD PLANE, AND REMOVE & REPLACE PVMT DELINEATION.

Location Description: BUTTE COUNTY NEAR CHICO FROM NOPEL AVENUE TO 1.3 MILES WEST OF CARPENTER RIDGE ROAD AND FROM 1.1 MILES WEST OF CARPENTER RIDGE ROAD TO 0.5 MILE WEST OF CARPENTER RIDGE ROAD

Contractor Name: LAMON CONSTRUCTION CO., INC.

Contractor Address: Unknown

Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2025-09-15-38

TL Number from the TL Form: C803777

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: 09/15/2025

Date that the sample was received by the laboratory/organization performing the testing: 09/15/2025

The quantity of what the sample constitutes: 2 Boxes

A brief description of the sample: 1/2" HMA w/ 25% RAP

From where was the sample collected: Source

Laboratory sample identification: Daily 25-175

Structure unique identifier:

Structure name:

The fabricator/manufacturer/facility name: Teichert Hallwood

Material Information

HMA Type: Type A HMA

HMA Grading: 1/2 inch

Lot number: 2

Sublot number: 2

HMA Mix Number: 30940142416V

Binder content (%): 5.2

Virgin binder PG: PG 58-22

Design binder PG: PG 64-16

Binder Supplier: Valero

RAP content (%): 25

WMA Additives:

Antistrip type:

Test Results

Test 1 of 2

DIME Test ID: 2025-09-15-38-1

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: 09/18/2025

Date Tested: 09/17/2025

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	2.549
Theoretical maximum density at 25°C (77°F)	3 kg/m^3

Test 2 of 2

DIME Test ID: 2025-09-15-38-2

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)