Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000997 DEA: 010J2104 EFIS: 0118000190
QA Service Level: 1
DIST-CO-RTE-PM: 01-DN-101-R2.6/23.9
Work Description: RHMA, HMA, AND COLD PLANE ASPHALT CONCRETE PAVEMENT.
Location Description: DEL NORTE COUNTY IN AND NEAR KLAMATH FROM 1.2 MILES SOUTH OF KLAMATH RIVER OVERFLOW TO 1.1 MILE NORTH OF HAMILTON ROAD
Contractor Name: MERCER-FRASER COMPANY
Contractor Address: P O BOX 1006, EUREKA, CA 95502-1006
Resident Engineer: Aaron Valley Structure Rep.: Joshua Erler
DIME Sample ID: 2026-04-22-9
TL Number from the TL Form:
Sample Submitted By Organization: CT D01 - Crescent City Field Laboratory
Sample Organization Contact: (707) 496-5581
Type of Sample: Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 04/22/2026
Date that the sample was received by the laboratory/organization performing the testing: 04/22/2026
The quantity of what the sample constitutes: 24 boxes
A brief description of the sample: 1/2 HMA-A
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Mercer Fraser Boyd Road
DIME Test ID: 2026-04-22-9-1
Test Method: AASHTO T30-25: Standard Method of Test for Mechanical Analysis of Extracted Aggregate (Mechanical Analysis)
Verified Date: 04/23/2026
Date Tested: 04/23/2026
Submitted By Organization: CT D01 - Crescent City Field Laboratory
Organization Address: 1444 Parkway Dr.,
Organization City: Crescent City
Organization State: CA
Organization Zipcode: 95531
Organization Email: clayton.malmberg@dot.ca.gov
Organization Phone: (707) 496-5581
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
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Is an aggregate correction factor used?
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Yes
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Aggregate correction factor for the 2 in. sieve (% passing)
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no data0 %
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Aggregate correction factor for the 1 1/2 in. sieve (% passing)
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no data0 %
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Aggregate correction factor for the 1 in. sieve (% passing)
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no data0 %
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Aggregate correction factor for the 3/4 in. sieve (% passing)
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no data0 %
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Aggregate correction factor for the 1/2 in. sieve (% passing)
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0.1 %
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Aggregate correction factor for the 3/8 in. sieve (% passing)
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-0.1 %
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Aggregate correction factor for the #4 sieve (% passing)
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0.5 %
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Aggregate correction factor for the #8 sieve (% passing)
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0.9 %
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Aggregate correction factor for the #16 sieve (% passing)
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1.4 %
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Aggregate correction factor for the #30 sieve (% passing)
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1.6 %
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Aggregate correction factor for the #50 sieve (% passing)
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1.1 %
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Aggregate correction factor for the #100 sieve (% passing)
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0.7 %
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Aggregate correction factor for the #200 sieve (% passing)
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0.2 %
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DIME Test ID: 2026-04-22-9-3
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: 04/22/2026
Date Tested: 04/22/2026
Submitted By Organization: CT D01 - Crescent City Field Laboratory
Organization Address: 1444 Parkway Dr.,
Organization City: Crescent City
Organization State: CA
Organization Zipcode: 95531
Organization Email: clayton.malmberg@dot.ca.gov
Organization Phone: (707) 496-5581
General Comments for this Test:
Test Result Compliance: complies
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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US Units
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Mass Determination
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Air
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Method Performed
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Mechanical Agitation - Method A
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Mass of container filled with water 1
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7345.5 grams
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Mass of oven-dry sample in air for Sample 1
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1939.8 grams
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Mass of container filled with the sample and water for Sample 1
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8497.9 grams
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Temperature of Water
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77 °F
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Specific Gravity for Sample 1
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2.464
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Theoretical maximum density at 25°C (77°F)
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153.4 lb/ft^3
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DIME Test ID: 2026-04-22-9-4
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: 04/22/2026
Date Tested: 04/22/2026
Submitted By Organization: CT D01 - Crescent City Field Laboratory
Organization Address: 1444 Parkway Dr.,
Organization City: Crescent City
Organization State: CA
Organization Zipcode: 95531
Organization Email: clayton.malmberg@dot.ca.gov
Organization Phone: (707) 496-5581
General Comments for this Test: target 5.00%
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 the specimen basket assembly
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3954.4 g
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Mass of the specimen and specimen basket assembly prior to ignition
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5598.6 g
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Corrected Asphalt Binder Content
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5.42 %
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Mass of HMA Sample prior to ignition
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1644.2 g
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Mass Loss
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102.3 g
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Mass of aggregate remaining after ignition
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1541.9 g
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Correction Factor (Percent by mass of HMA Specimen)
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0.8 %
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Moisture Content
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no data0 %
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Temperature Compensation Factor
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no data0 %
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Test Temperature
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482 C
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