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Sample Record for 2025-09-25-107

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Project Information

Project ID: 994369 DEA: 042K6404 EFIS: 0416000480 QA Service Level: 1
DIST-CO-RTE-PM: 04-SM-84-6.0
Work Description: CONSTRUCT SOLDIER PILE WALL.
Location Description: SAN MATEO COUNTY NEAR LA HONDA 0.2 MILE WEST OF SAN GREGORIO CREEK BRIDGE
Contractor Name: BRIDGEWAY CIVIL CONSTRUCTORS, INC.
Contractor Address: 3333 Vaca Valley Parkway, Suite 2000, Vacaville, CA 95688
Resident Engineer: Fred Booshehri Structure Rep.: Steve Gong

Sample Information

DIME Sample ID: 2025-09-25-107
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - Concord Field Laboratory
Sample Organization Contact: (510) 714-7019
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 09/25/2025
Date that the sample was received by the laboratory/organization performing the testing: 09/25/2025
The quantity of what the sample constitutes: 100Tons
A brief description of the sample: 3/4"RHMA-SP
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Teichert Woodland

Material Information

HMA Type: RHMA-G
HMA Grading: 3/4 inch
Lot number: 3
Sublot number: 2
HMA Mix Number:
Binder content (%): 0.0
Virgin binder PG:
Design binder PG:
Binder Supplier:
RAP content (%):
WMA Additives:
Antistrip type:
Test results on following page(s): 6

Test Results

Test 1 of 6

DIME Test ID: 2025-09-25-107-1
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: 12/17/2025
Date Tested: 09/25/2025
Submitted By Organization: CT D04 - Concord Field Laboratory
Organization Address: 2525 Stanwell Drive, Suite 100,
Organization City: Concord
Organization State: CA
Organization Zipcode: 94520
Organization Email: gurind.joshi@dot.ca.gov
Organization Phone: (510) 714-7019
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? US Units
Mass Determination Air
Specific Gravity for Sample 1 2.465
Theoretical maximum density at 25°C (77°F) 2458.2 lb/ft^3

Test 2 of 6

DIME Test ID: 2025-09-25-107-3
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)
Submitted By Organization: CT D04 - Concord Field Laboratory
Organization Address: 2525 Stanwell Drive, Suite 100,
Organization City: Concord
Organization State: CA
Organization Zipcode: 94520
Organization Email: gurind.joshi@dot.ca.gov
Organization Phone: (510) 714-7019
Data has not been verified.

Test 3 of 6

DIME Test ID: 2025-09-25-107-4
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)
Submitted By Organization: CT D04 - Concord Field Laboratory
Organization Address: 2525 Stanwell Drive, Suite 100,
Organization City: Concord
Organization State: CA
Organization Zipcode: 94520
Organization Email: gurind.joshi@dot.ca.gov
Organization Phone: (510) 714-7019
Data has not been verified.

Test 4 of 6

DIME Test ID: 2025-09-25-107-5
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: 12/17/2025
Date Tested: 09/25/2025
Submitted By Organization: CT D04 - Concord Field Laboratory
Organization Address: 2525 Stanwell Drive, Suite 100,
Organization City: Concord
Organization State: CA
Organization Zipcode: 94520
Organization Email: gurind.joshi@dot.ca.gov
Organization Phone: (510) 714-7019
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Bulk Specific Gravity 2.222
Bulk Specific Gravity 2 2.192
Average Bulk Specific Gravity 2.207

Test 5 of 6

DIME Test ID: 2025-09-25-107-6
Test Method: AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)
Submitted By Organization: CT D04 - Concord Field Laboratory
Organization Address: 2525 Stanwell Drive, Suite 100,
Organization City: Concord
Organization State: CA
Organization Zipcode: 94520
Organization Email: gurind.joshi@dot.ca.gov
Organization Phone: (510) 714-7019
Data has not been verified.

Test 6 of 6

DIME Test ID: 2025-09-25-107-7
Test Method: AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)
Verified Date: 12/17/2025
Date Tested: 09/25/2025
Submitted By Organization: CT D04 - Concord Field Laboratory
Organization Address: 2525 Stanwell Drive, Suite 100,
Organization City: Concord
Organization State: CA
Organization Zipcode: 94520
Organization Email: gurind.joshi@dot.ca.gov
Organization Phone: (510) 714-7019
General Comments for this Test:
Test Result Compliance: does not comply
Additional Comments When Verified:
Percent Air Voids 9.9 %
Percent Air Voids 2 11.1 %
Average Percent Air Voids 10.5 %
Average Core Density 89.5 %

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
2025-09-25-107-2AASHTO T209-22: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)12/17/202509/25/2025ASM Faruque HossainCT D04 - Concord Field Laboratory