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: 2025-09-17-70
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: 09/17/2025
Date that the sample was received by the laboratory/organization performing the testing: 09/18/2025
The quantity of what the sample constitutes: 750 Tons
A brief description of the sample: Boxes of RHMA-G
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: 2025-09-17-70-1
Test Method: AASHTO T209-25: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)
Verified Date: 10/09/2025
Date Tested: 09/18/2025
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:
|
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
|
2.538
|
|
Theoretical maximum density at 25°C (77°F)
|
2530.5 lb/ft^3
|
DIME Test ID: 2025-09-17-70-2
Test Method: AASHTO T308-25: 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: 10/09/2025
Date Tested: 09/18/2025
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: does not comply
Additional Comments When Verified:
|
What temperature unit is used?
|
Celsius
|
|
Test procedure used?
|
Method A
|
|
Corrected Asphalt Binder Content
|
6.82 %
|
|
Mass of HMA Sample prior to ignition
|
2030.9 g
|
|
Mass Loss
|
148 g
|
|
Correction Factor (Percent by mass of HMA Specimen)
|
0.32 %
|
|
Moisture Content
|
no data0 %
|
|
Temperature Compensation Factor
|
0.15 %
|
|
Test Temperature
|
482 C
|
DIME Test ID: 2025-09-17-70-3
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: 10/09/2025
Date Tested: 09/18/2025
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
|
2.487
|
|
Bulk Specific Gravity 2
|
2.404
|
|
Average Bulk Specific Gravity
|
2.446
|
