Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 209109 DEA: 043G9004 EFIS: 0412000557 COOP: 042513
QA Service Level: 1
DIST-CO-RTE-PM: 04-SON-116,121-46.0/46.7,5.8/R7.4
Work Description: MODIFY EXISTING STATE ROUTE 116,121 BONNEAU ROAD INTERSECTION FROM A 4 WAY STOP CONTROLLED INTERSECTION TO A ROUNDABOUT AND SIGNALIZED INTERSECTION.
Location Description: SONOMA COUNTY
Contractor Name: O.C. JONES & SONS, INC.
Contractor Address: 1520 Fourth Street, Berkeley, CA 94710
Resident Engineer: Fabio La Serna Structure Rep.: Unknown
DIME Sample ID: 2025-09-27-9
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: 09/27/2025
Date that the sample was received by the laboratory/organization performing the testing: 09/29/2025
The quantity of what the sample constitutes: 750 Tons
A brief description of the sample: 3/4 RHMA-G
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan LHD
DIME Test ID: 2025-09-27-9-1
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: 10/20/2025
Date Tested: 10/03/2025
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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What temperature unit is used?
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Celsius
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Test procedure used?
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Method A
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Mass of HMA Sample prior to ignition
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2051 g
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Corrected Asphalt Binder Content
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7.75 %
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Mass Loss
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198.8 g
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Correction Factor (Percent by mass of HMA Specimen)
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1.79 %
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Moisture Content
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no data0 %
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Temperature Compensation Factor
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0.15 %
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Test Temperature
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482 C
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DIME Test ID: 2025-09-27-9-2
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: 10/20/2025
Date Tested: 10/03/2025
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: not applicable
Additional Comments When Verified:
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Bulk Specific Gravity
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2.257
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Bulk Specific Gravity 2
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2.294
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Average Bulk Specific Gravity
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2.276
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DIME Test ID: 2025-09-27-9-3
Test Method: AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)
Verified Date: 10/20/2025
Date Tested: 10/03/2025
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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Percent Air Voids
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93.1 %
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Percent Air Voids 2
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94.6 %
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Average Percent Air Voids
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93.9 %
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Average Core Density
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141.7 %
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