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Sample Record for 2025-09-19-43

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 1000435 DEA: 030J01U4 EFIS: 0323000244 QA Service Level: 1
DIST-CO-RTE-PM: 03-PLA-28-0.1/11.0
Work Description: HMA (TYPE A), COLD PLANE AC PVMT, RDWY EXC, & CL 2 AB.
Location Description: PLACER COUNTY FROM 0.1 MILE EAST OF ROUTE 89 AT TAHOE CITY TO THE NEVADA STATE LINE AT KINGS BEACH
Contractor Name: MERCER-FRASER COMPANY
Contractor Address: PO Box 1006, Eureka, CA 95502
Resident Engineer: Reza Salehi Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2025-09-19-43
TL Number from the TL Form:
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: 09/19/2025
Date that the sample was received by the laboratory/organization performing the testing: 09/30/2025
The quantity of what the sample constitutes: 2 Boxes
A brief description of the sample: 3/4" HMA w/ 15% RAP
From where was the sample collected: Source
Laboratory sample identification: Daily 25-188
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Teichert Martis

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number: 1
Sublot number: 4
HMA Mix Number: 30540732407P
Binder content (%): 5.0
Virgin binder PG:
Design binder PG: PG 64-28
Binder Supplier: PNW
RAP content (%): 15
WMA Additives:
Antistrip type:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2025-09-19-43-1
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: 10/02/2025
Date Tested: 10/01/2025
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
Method Performed Mechanical Agitation - Method A
Mass of container filled with water 1 7402.6 grams
Mass of oven-dry sample in air for Sample 1 2618.1 grams
Mass of container filled with the sample and water for Sample 1 8969 grams
Temperature of Water no data0 °F
Specific Gravity for Sample 1 2.489
Theoretical maximum density at 25°C (77°F) 2482 kg/m^3

Test 2 of 2

DIME Test ID: 2025-09-19-43-2
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: 10/02/2025
Date Tested: 10/01/2025
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: R1 OBC 4.9%
Test Result Compliance: complies
Additional Comments When Verified:
What temperature unit is used? Celsius
Test procedure used? Method A
Mass of HMA Sample prior to ignition 2142.9 g
Corrected Asphalt Binder Content 5.41 %
Mass Loss 123.5 g
Correction Factor (Percent by mass of HMA Specimen) 0.35 %
Moisture Content no data0 %
Temperature Compensation Factor 0.02 %
Test Temperature 538 C