Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 995262 DEA: 041Q4604 EFIS: 0418000279
QA Service Level: 1
DIST-CO-RTE-PM: 04-SCL-280-0/2.7
Work Description: RHMA-G SURFACING AND CONSTRUCT BRIDGE APPROACH.
Location Description: SANTA CLARA COUNTY IN SAN JOSE FROM ROUTE 280/680/101 SEPARATION TO 0.2 MILE WEST OF BIRD AVENUE OVERCROSSING
Contractor Name: O.C. JONES & SONS, INC.
Contractor Address: 1520 4th Street, Berkeley, CA 94710
Resident Engineer: Nim Patel Structure Rep.: Unknown
DIME Sample ID: 2025-09-04-97
TL Number from the TL Form: SJ-090425-1
Sample Submitted By Organization: CT D04 - San Jose Construction Field Laboratory
Sample Organization Contact: (510) 385-8171
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 09/04/2025
Date that the sample was received by the laboratory/organization performing the testing: 09/05/2025
The quantity of what the sample constitutes: 0-750 Tons
A brief description of the sample: 3/4"RHMA-G
From where was the sample collected: Source
Laboratory sample identification: SJ-090425-T209-L1SL9
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Martin Marietta Sunol Drier Drum Plant
DIME Test ID: 2025-09-04-97-1
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: 12/25/2025
Date Tested: 09/09/2025
Submitted By Organization: CT D04 - San Jose Construction Field Laboratory
Organization Address: 1007 Knox Avenue,
Organization City: San Jose
Organization State: CA
Organization Zipcode: 95122
Organization Email: fernando.vega@dot.ca.gov
Organization Phone: (510) 385-8171
General Comments for this Test: Lot 1 – Sublot 9
Test Result Compliance: not applicable
Additional Comments When Verified:
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Number of Samples
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1
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What is the unit of measurement for theoretical density?
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SI Units
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Mass Determination
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Air
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Specific Gravity for Sample 1
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2.485
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Theoretical maximum density at 25°C (77°F)
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2478 kg/m^3
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