Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993333 DEA: 04264724 EFIS: 0419000068
QA Service Level: 1
DIST-CO-RTE-PM: 04-MRN-101-R20.8/27.1
Work Description: CIP BRIDGES, CONSTRUCT ROADWAY, RETAINING WALLS AND MODIFY ELECTRICAL.
Location Description: MARIN COUNTY IN AND NEAR NOVATO FROM 0.1 MILE SOUTH OF FRANKLIN AVENUE OVERHEAD TO 0.5 MILE SOUTH OF SAN ANTONIO CREEK BRIDGE
Contractor Name: GHILOTTI CONSTRUCTION CO. INC. (RILEY GENAZZI & JOSH SERAFINO)
Contractor Address: 246 GHILOTTI AVE., SANTA ROSA, CA 95407
Resident Engineer: Fabio La Serna Structure Rep.: Jeremy Light
DIME Sample ID: 2025-08-08-50
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - Petaluma Field Laboratory
Sample Organization Contact: (510) 385-6841
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 08/08/2025
Date that the sample was received by the laboratory/organization performing the testing: 08/11/2025
The quantity of what the sample constitutes: 750 Tons
A brief description of the sample: Hot mix asphalt
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: BoDean Company
DIME Test ID: 2025-08-08-50-1
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: 09/29/2025
Date Tested: 08/11/2025
Submitted By Organization: CT D04 - Petaluma Field Laboratory
Organization Address: 5675 Gibraltar Drive,
Organization City: Pleasanton
Organization State: CA
Organization Zipcode: 94588
Organization Email: glenn.cea@dot.ca.gov
Organization Phone: (510) 385-6841
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
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Number of Samples
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1
|
|
What is the unit of measurement for theoretical density?
|
US Units
|
|
Mass Determination
|
Water
|
|
Specific Gravity for Sample 1
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2.591
|
|
Theoretical maximum density at 25°C (77°F)
|
2583.5 lb/ft^3
|
DIME Test ID: 2025-08-08-50-2
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)
Verified Date: 09/29/2025
Date Tested: 08/11/2025
Submitted By Organization: CT D04 - Petaluma Field Laboratory
Organization Address: 5675 Gibraltar Drive,
Organization City: Pleasanton
Organization State: CA
Organization Zipcode: 94588
Organization Email: glenn.cea@dot.ca.gov
Organization Phone: (510) 385-6841
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
|
What temperature unit is used?
|
Fahrenheit
|
|
Test procedure used?
|
Method A
|
|
Mass of HMA Sample prior to ignition
|
2852.3 g
|
|
Corrected Asphalt Binder Content
|
5.03 %
|
|
Mass Loss
|
96.6 g
|
|
Correction Factor (Percent by mass of HMA Specimen)
|
0.74 %
|
|
Moisture Content
|
no data0 %
|
|
Temperature Compensation Factor
|
0.19 %
|
|
Test Temperature
|
482 F
|
DIME Test ID: 2025-08-08-50-3
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: 09/29/2025
Date Tested: 08/11/2025
Submitted By Organization: CT D04 - Petaluma Field Laboratory
Organization Address: 5675 Gibraltar Drive,
Organization City: Pleasanton
Organization State: CA
Organization Zipcode: 94588
Organization Email: glenn.cea@dot.ca.gov
Organization Phone: (510) 385-6841
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
|
Bulk Specific Gravity
|
2.442
|
|
Bulk Specific Gravity 2
|
2.414
|
|
Bulk Specific Gravity 3
|
2.416
|
|
Average Bulk Specific Gravity
|
2.424
|
