Project Information

Project ID: 1001174 DEA: 040X7004 EFIS: 0424000158 QA Service Level: 1

DIST-CO-RTE-PM: 04-SOL-84-3.0/13.6

Work Description: COLD PLANE AC PAVEMENT AND OVERLAY WITH RHMA-G (BWC).

Location Description: SOLANO COUNTY NEAR RIO VISTA FROM 0.4 MILE NORTH OF CACHE SLOUGH FERRY TO YOLO COUNTY LINE

Contractor Name: O.C. JONES & SONS, INC.

Contractor Address: Unknown

Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2025-09-09-128

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: 09/09/2025

Date that the sample was received by the laboratory/organization performing the testing: 09/10/2025

The quantity of what the sample constitutes: 750 Tons

A brief description of the sample: 3/4"HMA-SP-RAP

From where was the sample collected: Job Site

Laboratory sample identification:

Structure unique identifier:

Structure name:

The fabricator/manufacturer/facility name: Teichert Perkins

Material Information

HMA Type: Type A HMA

HMA Grading: 3/4 inch

Lot number: 1

Sublot number: 7

HMA Mix Number:

Binder content (%): 0.0

Virgin binder PG:

Design binder PG:

Binder Supplier:

RAP content (%):

WMA Additives:

Antistrip type:

Test Results

Test 1 of 2

DIME Test ID: 2025-09-09-128-1

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: 02/18/2026

Date Tested: 09/10/2025

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:

Number of Samples	1
What is the unit of measurement for theoretical density?	SI Units
Mass Determination	Air
Specific Gravity for Sample 1	2.545
Theoretical maximum density at 25°C (77°F)	2538 kg/m^3

Test 2 of 2

DIME Test ID: 2025-09-09-128-2

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)